Risk Stratification for Asymptomatic Coronary Artery Disease in patients with Type II Diabetes Mellitus

Abstract

There is strong correlation between coronary artery disease (CAD) and Type II Diabetes Mellitus (T2DM). This can be attributed to early atherosclerosis in diabetic subset as compared to non-diabetic population. However, owing to neuropathy and other metabolic milieu, which exists in patients with diabetes mellitus, many patients present late to the health care for atherosclerosis and its complications. CAD being one of the commonest complication of atherosclerosis process, it comprises a huge number of patients suffering from T2DM. And many such patients are asymptomatic for longer period of time. Here in this review we will discuss about importance of various risk factors and their roles in detecting subclinical atherosclerosis and silent ischemia in asymptomatic patients with diabetes. We will also discuss about various imaging modalities and their role in asymptomatic CAD patients with T2DM.