CAC: An Under-Utilized Tool for Screening of ASCVD in Diabetes

Author Info

Dharmendra Panchal Sanjeev Phatak Banshi Saboo Rutul Goklani Dhruvi Hasnani Rikin Shah Padmanabh Zinzuwdia

Corresponding Author

Dharmendra Panchal
Diabetes Care and Hormone Clinic, Ahmedabad, India

A B S T R A C T

Diabetes Mellitus is the silent killer of the 21st century affecting 425 million people all over the world. The situation is worse in south east Asia particularly India where the prevalence is increasing at a rapid pace. The overall prevalence of diabetes in all 15 states of India was 7.3%. Coronary artery disease (CAD) contributes the highest in morbidity, mortality and financial burden of diabetes. Observational studies and RCTs report the prevalence of silent myocardial ischaemia in asymptomatic DM as 22%. There are many ways to estimate cardiovascular risk in asymptomatic diabetes people like clinical risk score, various biomarkers and other modalities like exercise stress test, echocardiography, Ankle Brachial Index (ABI), Carotid Intima Media Thickness (CIMT), Coronary Artery Calcium Score (CAC), CT angiography, Cardiac MRI, Nuclear Imaging etc. In this article we tried to review various modalities and their usefulness in screening asymptomatic ASCVD. Out of all available modalities CAC score is found to be very cost effectiveness and sensitive way to predict ASCVD. Still CAC is an underutilized modality to screen asymptomatic ASCVD in diabetes people.

Article Info

Article Type

Research Article

Publication history

Received: Tue 21, Jul 2020
Accepted: Fri 31, Jul 2020
Published: Wed 12, Aug 2020

Copyright

© 2023 Dharmendra Panchal. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.JDMC.2020.01.07