Chopra Sandeep, Peter Soumia
Department of Cardiology, Christian Medical College and Hospital, Ludhiana, India.
Indian J Endocrinol Metab. 2012 Jan;16(1):94-101. doi: 10.4103/2230-8210.91202.
Coronary artery disease (CAD) is the leading cause of morbidity and mortality in patients with diabetes. CAD is often asymptomatic in these patients, until the onset of myocardial infarction or sudden cardiac death. Consequently, proper screening and diagnosis of CAD is crucial for the prevention and early treatment of coronary events. This review deals with selection of the sub group of patients who have type 2 diabetes, who are at high risk for developing CAD and need to be screened for the same. The various diagnostic modalities which can be used in the screening process for enhancing risk stratification and management are also discussed.
冠状动脉疾病(CAD)是糖尿病患者发病和死亡的主要原因。在这些患者中,CAD通常无症状,直到心肌梗死或心源性猝死发作。因此,对CAD进行适当的筛查和诊断对于预防和早期治疗冠状动脉事件至关重要。本综述探讨了2型糖尿病患者亚组的选择,这些患者发生CAD的风险较高,需要进行相同的筛查。还讨论了在筛查过程中可用于加强风险分层和管理的各种诊断方法。