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Increased Prevalence of Significant Coronary Artery Calcification in Patients With Diabetes

Peripheral Vascular Disease Clinic, Albert Einstein College of Medicine, Jacobi Medical Center, New York, New York

In a recent issue of Diabetes Care, Schurgin et al. (1) demonstrated a twofold increased prevalence of coronary artery calcification in diabetic patients versus age- and risk-matched nondiabetic patients. This finding suggests two important questions that relate to whether such a finding fully correlates with potential coronary artery stenosis in diabetic patients: 1) does electron beam–computed tomography distinguish between intimal (i.e., plaque) calcification and medial calcification? and 2) if such a distinction is possible, then what fraction of the observed densities in diabetic patients was found to be intimal versus medial?

It has long been known (2) that . . . [Full Text of this Article]

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