Pakistan Journal of Medical Sciences

Published by : PROFESSIONAL MEDICAL PUBLICATIONS

ISSN 1681-715X

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ORIGINAL ARTICLE

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Volume 25

July - September 2009

Number  4


 

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Asymptomatic coronary artery
disease in Type-2 diabetes

Shah S. Fayyaz Ahmed1, Saleh Othman2, Sultan Ayub Meo3

ABSTRACT

Objective: To select a subgroup of type-2 diabetics with two additional prespecified risk factors to see that whether there is any benefit of screening such patients.

Methodology: Five hundred twenty six patients were sent for treadmill stress test or thallium scan. Those who had abnormal results were advised coronary angiography. The angiographically proven CAD was correlated with various risk factors to find the relationship between the disease and variables.

Results: Two hundred thirty five (48%) patients had abnormal results and among them 158 (67%) underwent coronary angiography. Among these 21% had evidence of CAD. Coronary artery bypass grafting (CABG) was performed in 35(33%) patients, catheter based intervention (PCI) in 44(40%) patients and 30(27%) patients were not suitable for intervention. Duration of diabetes, smoking, diabetic retinopathy, albuminuria, and peripheral vascular disease were significant predictor of asymptomatic CAD.

Conclusion: This study has demonstrated strong relationship between risk factors and asymptomatic CAD in type2 diabetics.

KEYWORDS: Asymptomatic, Coronary artery disease, Diabetes.

Pak J Med Sci    July - September 2009    Vol. 25 No. 4    551-556

How to cite this article:

Ahmed SSF, Othman S, Meo SA. Asymptomatic coronary artery disease in Type-2 diabetes. Pak J Med Sci 2009;25(4):551-556.


1. Dr. Shah S. Fayyaz Ahmed, MRCP (UK)
Consultant Cardiologist,
King Khalid University Hospital Riyadh.
2. Dr. Saleh Othman (MSc. NUCL. MED, JBNM)
Consultant Nuclear Medicine,
King Khalid University Hospital
3. Dr. Sultan Ayub Meo (MBBS, M.PHIL.PhD)
Associate Professor,
Physiology Department,
King Saud University Riyadh,
Saudi Arabia.

Correspondence

Dr. Shah, S.F. Ahmed, MRCP (UK)
Consultant Cardiologist
P.O. Box: 231803,
Riyadh 11321
Kingdom of Saudi Arabia
E-mail: sfashah@yahoo.com

* Received for Publication: November 3, 2008
* Revision Received: July 6, 2009
* Revision Accepted: July 9, 2009



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