Why to screen heart disease in diabetes

被引：9
作者：
Fadini, Gian Paolo [1 ]
de Kreutzenberg, Saula Vigili [1 ]
Tiengo, Antonio [1 ]
Avogaro, Angelo [1 ]
机构：
[1] Univ Padua, Sch Med, Dept Clin & Expt Med, Metab Div & Diabetol, I-35100 Padua, Italy
来源：
ATHEROSCLEROSIS | 2009年 / 204卷 / 01期
关键词：
Diabetes; Heart disease; Coronary artery disease; Screening; LOW-DENSITY-LIPOPROTEIN; EARLY ATHEROSCLEROTIC LESIONS; PERIPHERAL ARTERIAL-DISEASE; PRIOR MYOCARDIAL-INFARCTION; CARDIOVASCULAR-DISEASE; VASCULAR-DISEASE; MEDICAL THERAPY; MATERNAL HYPERCHOLESTEROLEMIA; INTRAVASCULAR ULTRASOUND; CLINICAL CONSEQUENCES;
D O I：
10.1016/j.atherosclerosis.2008.08.044
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
The expanding diabetic epidemic and the high risk of cardiovascular events in diabetic patients suggest that Screening heart disease in this population is an important issue. Nonetheless, the advisability of large-scale Screening in asymptomatic individuals with diabetes is debated, because available techniques are expensive and have Suboptimal diagnostic accuracy. Moreover, all diabetic patients should be treated aggressively as if they all had a positive screening test, because diabetes could be considered a coronary risk equivalent. In this article, we Underline the importance of an early diagnosis of coronary artery disease and heart failure in diabetic patients, Suggesting that positive screening tests have significant implications in clinical management. (C) 2008 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码：11 / 15
页数：5
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