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Coronary Atherosclerosis Assessment by Coronary CT Angiography in Asymptomatic Diabetic Population: A Critical Systematic Review of the Literature and Future Perspectives
Joint Authors
Baggiano, Andrea
Guaricci, Andrea Igoren
Guglielmo, Marco
Moscogiuri, Giuseppe
De Santis, Delia
Carbone, Mariangela
Serviddio, Gaetano
Pontone, G.
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-13, 13 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-01-15
Country of Publication
Egypt
No. of Pages
13
Main Subjects
Abstract EN
The prognostic impact of diabetes mellitus (DM) on cardiovascular outcomes is well known.
As a consequence of previous studies showing the high incidence of coronary artery disease (CAD) in diabetic patients and the relatively poor outcome compared to nondiabetic populations, DM is considered as CAD equivalent which means that diabetic patients are labeled as asymptomatic individuals at high cardiovascular risk.
Lessons learned from the analysis of prognostic studies over the past decade have challenged this dogma and now support the idea that diabetic population is not uniformly distributed in the highest risk box.
Detecting CAD in asymptomatic high risk individuals is controversial and, what is more, in patients with diabetes is challenging, and that is why the reliability of traditional cardiac stress tests for detecting myocardial ischemia is limited.
Cardiac computed tomography angiography (CCTA) represents an emerging noninvasive technique able to explore the atherosclerotic involvement of the coronary arteries and, thus, to distinguish different risk categories tailoring this evaluation on each patient.
The aim of the review is to provide a wide overview on the clinical meaning of CCTA in this field and to integrate the anatomical information with a reliable therapeutic approach.
American Psychological Association (APA)
Guaricci, Andrea Igoren& De Santis, Delia& Carbone, Mariangela& Moscogiuri, Giuseppe& Guglielmo, Marco& Baggiano, Andrea…[et al.]. 2018. Coronary Atherosclerosis Assessment by Coronary CT Angiography in Asymptomatic Diabetic Population: A Critical Systematic Review of the Literature and Future Perspectives. BioMed Research International،Vol. 2018, no. 2018, pp.1-13.
https://search.emarefa.net/detail/BIM-1129379
Modern Language Association (MLA)
Guaricci, Andrea Igoren…[et al.]. Coronary Atherosclerosis Assessment by Coronary CT Angiography in Asymptomatic Diabetic Population: A Critical Systematic Review of the Literature and Future Perspectives. BioMed Research International No. 2018 (2018), pp.1-13.
https://search.emarefa.net/detail/BIM-1129379
American Medical Association (AMA)
Guaricci, Andrea Igoren& De Santis, Delia& Carbone, Mariangela& Moscogiuri, Giuseppe& Guglielmo, Marco& Baggiano, Andrea…[et al.]. Coronary Atherosclerosis Assessment by Coronary CT Angiography in Asymptomatic Diabetic Population: A Critical Systematic Review of the Literature and Future Perspectives. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-13.
https://search.emarefa.net/detail/BIM-1129379
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1129379