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Review
. 2008 Feb;34(1):26-32.
doi: 10.1016/j.diabet.2007.08.005. Epub 2008 Jan 14.

What is the role of computed tomographic coronary angiography in diabetic patients?

L Bordier  1 , C Garcia, P Goasdoué, H Mayaudon, O Dupuy, O Guiraudet, B Bauduceau
Affiliations
Review

What is the role of computed tomographic coronary angiography in diabetic patients?

L Bordier et al. Diabetes Metab. 2008 Feb.

Abstract

All diabetes specialists are aware of the frequency and severity of coronary disease in diabetics. Non-invasive diagnostic tests perform well, but they could be better.

Aim: To assess the role of computed tomographic coronary angiography in diabetics. New cardiac imaging techniques such as CT coronary angiography are promising tools for the selection of patients for conventional X-ray coronary angiography, which remains the key for diagnosis and angioplasty. The limitations of CT coronary angiography, even using the most advanced machines with a 64-slice capacity, are its resolution, the need for an iodine contrast agent and the cumulative radiation from repeated examinations.

Conclusion: CT coronary angiography appears to have great potential for patients at risk where non-invasive tests cannot absolutely exclude coronary disease and for the follow-up of coronary bypass surgery.

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