open access

Vol 9, No 3-4 (2008): Practical Diabetology
Review articles (translated)
Published online: 2008-07-04
Get Citation

Exercise stress testing in patients with type 2 diabetes: when are asymptomatic patients screened?

George D. Harris, Russell D. White
Diabetologia Praktyczna 2008;9(3-4):187-193.

open access

Vol 9, No 3-4 (2008): Practical Diabetology
Review articles (translated)
Published online: 2008-07-04

Abstract

There are no evidence-based guidelines for screening asymptomatic diabetic patients for coronary artery disease (CAD). One well-studied screening tool is exercise treadmill testing. Many diabetic patients with no symptoms of CAD have abnormal stress tests. For asymptomatic patients, identification of cardiovascular risk factors and risk stratification may help physicians justify the performance of treadmill evaluation. Patients considering moderate or vigorous exercise and those at highest risk can undergo exercise stress testing with referral for further evaluation as indicated. For patients with decreased exercise capacity, inability to reach target heart rates, or absence of chest pain during exercise, stress nuclear imaging may be more valuable than exercise electrocardiograph testing.

Abstract

There are no evidence-based guidelines for screening asymptomatic diabetic patients for coronary artery disease (CAD). One well-studied screening tool is exercise treadmill testing. Many diabetic patients with no symptoms of CAD have abnormal stress tests. For asymptomatic patients, identification of cardiovascular risk factors and risk stratification may help physicians justify the performance of treadmill evaluation. Patients considering moderate or vigorous exercise and those at highest risk can undergo exercise stress testing with referral for further evaluation as indicated. For patients with decreased exercise capacity, inability to reach target heart rates, or absence of chest pain during exercise, stress nuclear imaging may be more valuable than exercise electrocardiograph testing.
Get Citation
About this article
Title

Exercise stress testing in patients with type 2 diabetes: when are asymptomatic patients screened?

Journal

Clinical Diabetology

Issue

Vol 9, No 3-4 (2008): Practical Diabetology

Pages

187-193

Published online

2008-07-04

Bibliographic record

Diabetologia Praktyczna 2008;9(3-4):187-193.

Authors

George D. Harris
Russell D. White

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