Diabetes and Subclinical Coronary Atherosclerosis
It is well known that diabetic patients have a high risk of cardiovascular events, and although there has been a tremendous effort to reduce these cardiovascular risks, the incidence of cardiovascular morbidity and mortality in diabetic patients remains high. Therefore, the early detection of corona...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Korean Diabetes Association
2018-10-01
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| Series: | Diabetes & Metabolism Journal |
| Subjects: | |
| Online Access: | https://e-dmj.org/Synapse/Data/PDFData/2004DMJ/dmj-42-355.pdf |
| _version_ | 1818693072144302080 |
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| author | Chang Hoon Lee Seung-Whan Lee Seong-Wook Park |
| author_facet | Chang Hoon Lee Seung-Whan Lee Seong-Wook Park |
| author_sort | Chang Hoon Lee |
| collection | DOAJ |
| description | It is well known that diabetic patients have a high risk of cardiovascular events, and although there has been a tremendous effort to reduce these cardiovascular risks, the incidence of cardiovascular morbidity and mortality in diabetic patients remains high. Therefore, the early detection of coronary artery disease (CAD) is necessary in those diabetic patients who are at risk of cardiovascular events. Significant medical and radiological advancements, including coronary computed tomography angiography (CCTA), mean that it is now possible to investigate the characteristics of plaques, instead of solely evaluating the calcium level of the coronary artery. Recently, several studies reported that the prevalence of subclinical coronary atherosclerosis (SCA) is higher than expected, and this could impact on CAD progression in asymptomatic diabetic patients. In addition, several reports suggest the potential benefit of using CCTA for screening for SCA in asymptomatic diabetic patients, which might dramatically decrease the incidence of cardiovascular events. For these reasons, the medical interest in SCA in diabetic patients is increasing. In this article, we sought to review the results of studies on CAD in asymptomatic diabetic patients and discuss the clinical significance and possibility of using CCTA to screen for SCA. |
| first_indexed | 2024-12-17T13:07:52Z |
| format | Article |
| id | doaj.art-570fbbb8d96645a3a3188c645afb109e |
| institution | Directory Open Access Journal |
| issn | 2233-6079 2233-6087 |
| language | English |
| last_indexed | 2024-12-17T13:07:52Z |
| publishDate | 2018-10-01 |
| publisher | Korean Diabetes Association |
| record_format | Article |
| series | Diabetes & Metabolism Journal |
| spelling | doaj.art-570fbbb8d96645a3a3188c645afb109e2022-12-21T21:47:12ZengKorean Diabetes AssociationDiabetes & Metabolism Journal2233-60792233-60872018-10-0142535536310.4093/dmj.2018.0041Diabetes and Subclinical Coronary AtherosclerosisChang Hoon Lee0Seung-Whan Lee1Seong-Wook Park2Department of Cardiology, Veterans Health Service Medical Center, Seoul, .KoreaDepartment of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, .KoreaDepartment of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, .KoreaIt is well known that diabetic patients have a high risk of cardiovascular events, and although there has been a tremendous effort to reduce these cardiovascular risks, the incidence of cardiovascular morbidity and mortality in diabetic patients remains high. Therefore, the early detection of coronary artery disease (CAD) is necessary in those diabetic patients who are at risk of cardiovascular events. Significant medical and radiological advancements, including coronary computed tomography angiography (CCTA), mean that it is now possible to investigate the characteristics of plaques, instead of solely evaluating the calcium level of the coronary artery. Recently, several studies reported that the prevalence of subclinical coronary atherosclerosis (SCA) is higher than expected, and this could impact on CAD progression in asymptomatic diabetic patients. In addition, several reports suggest the potential benefit of using CCTA for screening for SCA in asymptomatic diabetic patients, which might dramatically decrease the incidence of cardiovascular events. For these reasons, the medical interest in SCA in diabetic patients is increasing. In this article, we sought to review the results of studies on CAD in asymptomatic diabetic patients and discuss the clinical significance and possibility of using CCTA to screen for SCA.https://e-dmj.org/Synapse/Data/PDFData/2004DMJ/dmj-42-355.pdfAtherosclerosisComputed tomography angiographyCoronary vesselsDiabetes mellitus |
| spellingShingle | Chang Hoon Lee Seung-Whan Lee Seong-Wook Park Diabetes and Subclinical Coronary Atherosclerosis Diabetes & Metabolism Journal Atherosclerosis Computed tomography angiography Coronary vessels Diabetes mellitus |
| title | Diabetes and Subclinical Coronary Atherosclerosis |
| title_full | Diabetes and Subclinical Coronary Atherosclerosis |
| title_fullStr | Diabetes and Subclinical Coronary Atherosclerosis |
| title_full_unstemmed | Diabetes and Subclinical Coronary Atherosclerosis |
| title_short | Diabetes and Subclinical Coronary Atherosclerosis |
| title_sort | diabetes and subclinical coronary atherosclerosis |
| topic | Atherosclerosis Computed tomography angiography Coronary vessels Diabetes mellitus |
| url | https://e-dmj.org/Synapse/Data/PDFData/2004DMJ/dmj-42-355.pdf |
| work_keys_str_mv | AT changhoonlee diabetesandsubclinicalcoronaryatherosclerosis AT seungwhanlee diabetesandsubclinicalcoronaryatherosclerosis AT seongwookpark diabetesandsubclinicalcoronaryatherosclerosis |