Investigation of coronary artery disease in diabetes: is screening of asymptomatic patients necessary?
Diabetes is a major risk factor for ischaemic heart disease; the relative risk increases at least twofold among diabetic men and even more so for women. 1 Diabetes is associated with more extensive coronary artery disease and an increased risk of cardiac death. 2 Even in the absence of frank diabete...
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Veröffentlicht in: | Heart (British Cardiac Society) 1997-12, Vol.78 (6), p.525-526 |
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description | Diabetes is a major risk factor for ischaemic heart disease; the relative risk increases at least twofold among diabetic men and even more so for women. 1 Diabetes is associated with more extensive coronary artery disease and an increased risk of cardiac death. 2 Even in the absence of frank diabetes, glucose intolerance has been associated with a heightened risk of coronary artery disease independent of age, blood pressure, and other risk factors. 3 Moreover, patients with diabetes are more likely to sustain an acute myocardial infarction, 4 and in these patients diabetes is a major independent predictor of morbidity and mortality. 5 Symptomatic patients Because the prevalence of coronary artery disease is higher in diabetic than non-diabetic populations, the probability of disease in the diabetic patient with typical angina is also high. |
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the relative risk increases at least twofold among diabetic men and even more so for women. 1 Diabetes is associated with more extensive coronary artery disease and an increased risk of cardiac death. 2 Even in the absence of frank diabetes, glucose intolerance has been associated with a heightened risk of coronary artery disease independent of age, blood pressure, and other risk factors. 3 Moreover, patients with diabetes are more likely to sustain an acute myocardial infarction, 4 and in these patients diabetes is a major independent predictor of morbidity and mortality. 5 Symptomatic patients Because the prevalence of coronary artery disease is higher in diabetic than non-diabetic populations, the probability of disease in the diabetic patient with typical angina is also high.</description><subject>Angina Pectoris - etiology</subject><subject>Cardiovascular disease</subject><subject>Coronary Disease - diagnosis</subject><subject>Coronary vessels</subject><subject>Diabetes</subject><subject>Diabetic Angiopathies - diagnosis</subject><subject>Family medical history</subject><subject>Heart attacks</subject><subject>Humans</subject><subject>Mortality</subject><subject>Patient Selection</subject><subject>Patients</subject><issn>1355-6037</issn><issn>1468-201X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9Uc9rFDEYHcRSa_XmVRgQ9OKsyeTneFB022qhVBAVbyGTfLPNupOsyWyx_73fssuiHrzk--C9vLy8V1VPKJlRyuSrmzzNlJ7JmWjFveqEcqmbltDv93FnQjSSMPWgeljKkhDCOy2Pq-OOK6JFd1INl_EWyhQWdgop1mmoXcop2nxX2zwBDh8K2AJ1iLjaHiYor-tQ6uIyQAxxsb1ky924ntKIKq5e4wlxKnUEB6Wg1ttH1dFgVwUe7-dp9fXi_Mv8Y3P16cPl_N1V03OlpkZqy6izznMhPPUtcD4o64UG3mspek00dT1TwpNet63vO-EHPwhuJQHGNDut3ux015t-BO_QRrYrs85hRBsm2WD-RmK4MYt0a6juWsYlCjzfC-T0c4PJmDEUB6uVjZA2xahOiA6zQ-Kzf4jLtMkRP2eo0qQjRHcMWS93LJdTKRmGgxVKzLY9g-0ZpY002B7Sn_5p_0De14V4s8NDmeDXAbb5h5EKYzHX3-bm_eczPdfy2mz1Xuz4_bj8_8u_AY-xtIs</recordid><startdate>19971201</startdate><enddate>19971201</enddate><creator>SAYER, JEREMY W</creator><creator>TIMMIS, ADAM D</creator><general>BMJ Publishing Group Ltd and British Cardiovascular Society</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19971201</creationdate><title>Investigation of coronary artery disease in diabetes: is screening of asymptomatic patients necessary?</title><author>SAYER, JEREMY W ; TIMMIS, ADAM D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b477t-68a31cacd455d1d2e44f7ad58e4b865b8081cb375d0b822db95dfdf54a60e3383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Angina Pectoris - etiology</topic><topic>Cardiovascular disease</topic><topic>Coronary Disease - diagnosis</topic><topic>Coronary vessels</topic><topic>Diabetes</topic><topic>Diabetic Angiopathies - diagnosis</topic><topic>Family medical history</topic><topic>Heart attacks</topic><topic>Humans</topic><topic>Mortality</topic><topic>Patient Selection</topic><topic>Patients</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SAYER, JEREMY W</creatorcontrib><creatorcontrib>TIMMIS, ADAM D</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Heart (British Cardiac Society)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SAYER, JEREMY W</au><au>TIMMIS, ADAM D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Investigation of coronary artery disease in diabetes: is screening of asymptomatic patients necessary?</atitle><jtitle>Heart (British Cardiac Society)</jtitle><addtitle>Heart</addtitle><date>1997-12-01</date><risdate>1997</risdate><volume>78</volume><issue>6</issue><spage>525</spage><epage>526</epage><pages>525-526</pages><issn>1355-6037</issn><eissn>1468-201X</eissn><abstract>Diabetes is a major risk factor for ischaemic heart disease; 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subjects | Angina Pectoris - etiology Cardiovascular disease Coronary Disease - diagnosis Coronary vessels Diabetes Diabetic Angiopathies - diagnosis Family medical history Heart attacks Humans Mortality Patient Selection Patients |
title | Investigation of coronary artery disease in diabetes: is screening of asymptomatic patients necessary? |
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