Juniper Publishers Journal of Cardiology and Cardiovascular Therapy

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Abstract Introduction and objective: Coronary calcium score (CCS) determined through multiple detector computed tomography is an excellent non-invasive method for detecting coronary atherosclerosis in subclinical stages. In this study we evaluated the presence of coronary artery disease in the subclinical stage by means of the coronary calcium score in diabetic patients. Methods: Cross-sectional descriptive study in diabetic patients with 10 years or more from it evolution and without coronary disease symptoms. We included different variables such as: demography (age, sex), clinics (smoking habit, alcoholism, and history of hypertension, type of diabetes and evolution's time), and anthropometrics (body mass index), hemoquimics (glycemia, total cholesterol and triglycerides) and imagenologhycs (total coronary calcium score and by artery). Results: The extensive coronary artery calci...

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Diabetic patients are more likely to have an acute coronary syndrome or even sudden silent death. Among the diabetic population there is the paradox of an early onset of coronary disease and a late diagnosis due to the absence of a striking clinic. Angina in the diabetic patient usually has an atypical presentation. The technique described by Agatston to quantify coronary calcium consists in measuring the total area of calcified coronary plaque in pixels, cut by cut, assigning a score. Coronary artery calcification has been shown to be an excellent measure of atherosclerotic load in epicardial vessels. The calcium in coronary arteries is related to cardiac events in the general population and its quantification is consistently higher in patients with clinic coronary disease. The presence of vascular calcification may provide an additional reason for both the physician and the ...