(Ivanhoe Newswire) – New research shows screening diabetic patients
for coronary arterial disease (CAD) does not reduce the rate of coronary
events.
Nearly 200 million people worldwide have type 2 diabetes, putting them at
increased risk for CAD, which can lead to a heart attack or sudden cardiac
death. CAD often shows no symptoms, leaving patients in the dark about their
risk for coronary events. However, in a recent study, researchers found
routine screening for CAD did not significantly reduce patients’ risk of a
coronary event.
Over a five year follow up period, researchers found the number of coronary
events, rates of primary medical prevention and coronary revascularization
were nearly identical, showing no benefit to routine CAD screening.
“Rather than viewing this study as a negative screening study, clinicians
might consider the results as a positive message: patients with type 2
diabetes without symptoms to suggest CAD, receiving contemporary medical
care, close follow-up, and appropriate diagnostic evaluation for symptoms of
ischemia have relatively favorable outcomes in the current era," the study
authors wrote.
SOURCE: The Journal of the American Medical Association,
2009;301[15]:1547-1555