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J Am Coll Cardiol. 2007 May 15;49(19):1915-7. Epub 2007 Apr 30.

Screen testing cardiovascular prevention in asymptomatic diabetic patients.

Author information

1
Division of Cardiology, Cedars-Sinai Medical Center, Los Angeles, California, USA. gadiamond@pol.net

Abstract

It has recently been proposed that asymptomatic diabetic patients undergo routine screening for subclinical atherosclerotic disease using myocardial perfusion scintigraphy. We herein analyze the expected cost and benefit associated with such a conditional test-treatment strategy (scintigraphic testing followed by statin treatment in positive test responders) in comparison to an unconditional treatment strategy (no testing and statin treatment in all). This analysis shows that unconditional treatment is the dominant strategy, costing 24% less ($3.2 billion) and preventing 25% more (16,800) atherosclerotic events annually on a national basis.

PMID:
17498574
DOI:
10.1016/j.jacc.2006.09.057
[Indexed for MEDLINE]
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