University of Lynchburg DMSc Doctoral Project Assignment Repository
Specialty
Emergency Medicine
Advisor
Dr. Tom Colletti
Abstract
Chest pain is one of the most common complaints in adults in the emergency department. However, presence of or lack of chest pain does not correlate with presence of or lack of cardiovascular disease. Cardiovascular disease (CVD) is a major cause of death and disability in all patients but particularly in diabetic patients.Silent myocardial infarctions (MI) being a very frequent cause or mortality in a diabetic patient. Diabetes Mellitus (DM) causes endothelial dysfunction which leads to atherosclerosis in medium and large arteries much earlier than in a non-diabetic patient. The Framingham study showed that diabetic patients have a two to threefold increase risk of atherosclerotic disease compared to patients without diabetes. It is important to be cognizant of a patient’s history of DM as chest pain equivalents may be more prevalent.
Recommended Citation
Ong-Pham N. Coronary Artery Disease in Diabetic Patients: What You Must Know. University of Lynchburg DMSc Doctoral Project Assignment Repository. 2020; 2(3).
Restricted
Available when accessing via a campus IP address or logged in with a University of Lynchburg email address.
Off-campus users can also use 'Off-campus Download' button above for access.