Cardiovascular Screening for the Asymptomatic Patient with Diabetes: More Cons Than Pros.

ABSTRACT: Diabetes mellitus is associated with an increased risk of coronary heart disease (CHD) morbidity and mortality. Although it frequently coexists with other cardiovascular disease (CVD) risk factors, it confers an increased risk for CVD events on its own. Coronary atherosclerosis is generally more aggressive and widespread in people with diabetes (PWD) and is frequently asymptomatic. Screening for silent myocardial ischaemia can be applied in a wide variety of ways. In nearly all asymptomatic PWD, however, the results of screening will generally not change medical therapy, since aggressive preventive measures, such as control of blood pressure and lipids, would have been already indicated, and above all, invasive revascularization procedures (either with percutaneous coronary intervention or

SUBMITTER: Makrilakis K 

PROVIDER: S-EPMC5745704 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature