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Application of Anatomical and Functional Modalities in Detection of Silent Myocardial Ischemia in Asymptomatic Diabetic Patients- A Review Article

Publish Year: 1394
Type: Journal paper
Language: English
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JR_IJDO-7-2_006

Index date: 7 November 2023

Application of Anatomical and Functional Modalities in Detection of Silent Myocardial Ischemia in Asymptomatic Diabetic Patients- A Review Article abstract

Cardiovascular disease (CAD) screening in asymptomatic patients with diabetes mellitus is controversial. An exercise stress test is a safe and effective initial testing for Ischemic Heart Disease (IHD) screening. Treadmill stress test is not the best screening method for a particular patient who is not able to exercise, abnormal electrocardiogram (ECG) or positive exercise treadmill test (ETT) and other anatomical or functional studies are recommended to evaluate for the myocardial ischemia. This concept is supported by the high rate prevalence of silent myocardial ischemia, CAD and cardiovascular events rate. Coronary angiography is an expensive and invasive test which is considered as gold standard for diagnosis obstructive CAD and not be used for screening. In this review article we discussed about anatomical modalities (Coronary Artery Calcium Score (CACS)) and nuclear imaging (SPECT) for evaluation of silent ischemia.

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Application of Anatomical and Functional Modalities in Detection of Silent Myocardial Ischemia in Asymptomatic Diabetic Patients- A Review Article authors

Sied Kazem Razavi Ratki

MD, Department of Radiology, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences Yazd, Iran.

Amirpasha Amelshahbaz

MD, Department of Radiology, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences Yazd, Iran.

Reza Nafisi-Moghadam

MD, Department of Radiology, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences Yazd, Iran.

Naser Hossein Sartipzadeh

MD, Department of Cardiology, Afshar Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran