Abstract
Ischemic heart disease is one of the major causes of fatal events in diabetics, and early detection and efficient evaluation of coronary artery stenosis in diabetic patients improves the outcome. We efficiently detected coronary artery stenosis in two cases of type 2 diabetes by coronary CT angiography by means of multi-ditector row computed tomography. No evidence of ischemia was detected by either excercise electrocardiography or excercise 201Tl scintigraphy, although both patients had diabetic microangiopathy and abnormal findings on carotid echograms. Based on the coronary angiography findings, percutaneous coronary intervention was performed in one patient and coronary artery bypass grafting in the other. Coronary CT angiography is a non-invasive examination and may be useful in screening for coronary artery stenosis in diabetic patients.
