Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science


Emergency Medicine


Dr. Tom Colletti


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.


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