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Optical Coherence Tomography Based Biomechanical Fluid-Structure Interaction Analysis of Coronary Atherosclerosis Progression
Published on: January 15, 2022
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Diabetes and Subclinical Coronary Atherosclerosis
Chang Hoon Lee1, Seung Whan Lee2, Seong Wook Park3
1Department of Cardiology, Veterans Health Service Medical Center, Seoul, Korea.
Diabetes & Metabolism Journal
|October 27, 2018
Summary
Diabetic patients face high cardiovascular risks. Coronary computed tomography angiography (CCTA) shows promise for screening subclinical coronary atherosclerosis (SCA) in asymptomatic individuals, potentially reducing events.
Area of Science:
- Cardiology
- Radiology
- Diabetology
Background:
- Diabetic patients have elevated cardiovascular event risks despite efforts to mitigate them.
- Coronary artery disease (CAD) remains a leading cause of morbidity and mortality in this population.
- Early detection of CAD is crucial for at-risk diabetic individuals.
Purpose of the Study:
- To review studies on CAD in asymptomatic diabetic patients.
- To discuss the clinical significance of subclinical coronary atherosclerosis (SCA) in this group.
- To evaluate the potential of coronary computed tomography angiography (CCTA) for SCA screening.
Main Methods:
- Review of recent medical and radiological studies.
- Analysis of CCTA's capability to assess plaque characteristics beyond calcification.
- Examination of prevalence and impact of SCA in asymptomatic diabetics.
Main Results:
- SCA prevalence is higher than anticipated in asymptomatic diabetic patients.
- CCTA enables detailed plaque characterization, offering insights into CAD progression.
- Emerging evidence suggests CCTA screening for SCA may reduce cardiovascular events.
Conclusions:
- Medical interest in SCA within the diabetic population is growing.
- CCTA presents a viable option for screening SCA in asymptomatic diabetics.
- Further research can solidify CCTA's role in preventing cardiovascular events in diabetics.
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