Rahmani Sina, Nakanishi Rine, Budoff Matthew J
Department of Cardiology, Los Angeles Biomedical Research Institute, 1124 W Carson Street, CDCRC, Torrance, CA, 90502, USA.
Curr Diab Rep. 2016 Nov;16(11):105. doi: 10.1007/s11892-016-0799-2.
Cardiovascular events, including myocardial infarction and stroke, are the primary causes of mortality in both type 1 and type 2 diabetes. Affected patients frequently have asymptomatic coronary artery disease. Studies have shown heterogeneity in cardiovascular risk among patients with diabetes. Imaging can help categorize risk of future cardiovascular events by identifying those patients with atherosclerosis, rather than relying on risk prediction based on population-based studies. In this article, we will review the evidence regarding use of atherosclerosis imaging in patients with diabetes to predict risk of coronary heart disease and mortality.
心血管事件，包括心肌梗死和中风，是1型和2型糖尿病患者死亡的主要原因。受影响的患者常有无症状冠状动脉疾病。研究表明，糖尿病患者的心血管风险存在异质性。影像学检查可通过识别动脉粥样硬化患者，而非依赖基于人群研究的风险预测，来帮助对未来心血管事件的风险进行分类。在本文中，我们将综述关于在糖尿病患者中使用动脉粥样硬化影像学检查来预测冠心病风险和死亡率的证据。
