RT Journal
A1 Wackers Fh, Young LH
T1 SCreening for asymptomatic coronary artery disease in patients with type 2 diabetes—reply
JF JAMA
JO JAMA
YR 2009
FD August 19
VO 302
IS 7
SP 735
OP 737
DO 10.1001/jama.2009.1190
UL http://dx.doi.org/10.1001/jama.2009.1190
AB 
Previous investigations, such as the J-ACCESS1 and Mayo Clinic2 studies, showed a higher prevalence of inducible ischemia and greater cardiac risk. However, the former included symptomatic patients and the second was a retrospective database analysis. In both studies patients were referred for testing by their physicians. Such patients are often selected for cardiac testing because of physician concern for particularly high cardiac risk or preoperative evaluation. Both studies also included patients with a prior history of myocardial infarction, which confers higher risk in patients with diabetes.