, Volume 18, Issue 3, pp 393-395,
Open Access This content is freely available online to anyone, anywhere at any time.
Date: 30 Mar 2011

Cardiac risk assessment in asymptomatic diabetes: Combing different imaging modalities and surrogate markers?

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The growing number of patients who develop diabetes mellitus (DM) is a great concern for public health care. Type 2 DM comprises 90% of all diabetic patients worldwide, and is largely the result of excess body weight and physical inactivity. Long term complications of DM include microvascular damage and macrovascular injuries. These complications reduce life expectancy and quality of life, and significantly increase morbidity. Due to the often masked symptoms of DM, the disease may be diagnosed several years after onset when complications have already occurred. Often, the prognosis of patients with DM depends on the presence of cardiovascular disease. Coronary artery disease (CAD) is the leading cause of morbidity and mortality in individuals with type 2 DM.1 The 10-year mortality rate in patients with known CAD and diabetes exceeds 70%.2

Some studies suggest that the risk for future cardiac death in patients with diabetes without known CAD is similar to that in non-diabetic patients wi

See related article, doi:10.1007/12350-011-9355-2.
An erratum to this article can be found at http://dx.doi.org/10.1007/s12350-011-9393-9