Coronary CT Angiography in Asymptomatic Diabetes Mellitus.
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Date
2016-07
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Abstract
Background: Coronary artery disease is often asymptomatic in diabetic patients until the onset of myocardial infarction
or sudden cardiac death. . Coronary artery CT angiography can detect Coronary artery disease with high specificity and
sensitivity. Aims &objectives: To evaluate the prevalence of coronary artery disease by CT angiography in type 2
diabetes mellitus patients asymptomatic for coronary artery disease with one or more additive risk factors for coronary
artery disease. Methods: This hospital based observational study was conducted from March 2013 to August 2014 at
GMC Srinagar. This study was carried out among Type 2 diabetes mellitus patients asymptomatic for coronary artery
disease with one or more additional risk factors for coronary artery disease. Total of 52 patients with Type 2 diabetes
patient underwent Cardiac CT. Results: Mean age of study population was 57.08 ±9.33 years..34 were males and 18
were females. 65.39% of total patient who underwent CT Angiography had plaque in coronary arteries while 34.61%
have no plaque and normal coronary vessels. 19.23% patients have significant stenosis defined by luminal narrowing
more than 70%. There was statistically significant relation between those who have patient significant stenosis and nonsignificant
stenosis with regards to mean age, BMI, duration of diabetes , HDL ,LDL ,total cholesterol ,TG, HbA1c and
coronary calcium score. Conclusion: Asymptomatic diabetics with additional risk factors have high prevalence of
atherosclerotic plaques with 19% having obstructive CAD .The timely detection of CAD can help in optimizing treatment.
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Keywords
Coronary artery disease(CAD), asymptomatic diabetics, CT Coronary angio
Citation
Ismail Mohd, Gul Irfan, Rashid Aamir, Tanvir Masood, Jehangir Majid, Gul Shujat, Zaffar Aaqib. Coronary CT Angiography in Asymptomatic Diabetes Mellitus. Annals of International Medical and Dental Research. 2016 July-Aug; 2(4): 133-138.