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	<title>Comments on: Diabetes: Prognostic Value of CT Coronary Angiography: Comparison With a Nondiabetic Population</title>
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	<link>http://www.thepreparedminds.com/archives/1900</link>
	<description>In the field of observation, chance favors the prepared minds.</description>
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		<title>By: Ronen Rubinshtein</title>
		<link>http://www.thepreparedminds.com/archives/1900/comment-page-1#comment-2267</link>
		<dc:creator>Ronen Rubinshtein</dc:creator>
		<pubDate>Sat, 26 Jun 2010 22:26:36 +0000</pubDate>
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		<description>Interesting and important data regarding the prognostic value of coronary CTA! However, the majority of patients with obstructive CAD in this study did not experience “hard events” (cardiac death or MI). Although, most events were “soft”, CTA was of prognostic value in patients with and without diabetes. Most “hard events” were in the diabetic group (15/313 vs 4/303). The results are somewhat less “pure” due to the inclusion of patients with known CAD (a third of the patients in both groups). I therefore still not completely sure what is the prognostic value in diabetic patients without known CAD and with minimal (or no) symptoms. This is an area of ongoing research. Moreover, will CTA diagnosis change patient outcome? Time will tell…</description>
		<content:encoded><![CDATA[<p>Interesting and important data regarding the prognostic value of coronary CTA! However, the majority of patients with obstructive CAD in this study did not experience “hard events” (cardiac death or MI). Although, most events were “soft”, CTA was of prognostic value in patients with and without diabetes. Most “hard events” were in the diabetic group (15/313 vs 4/303). The results are somewhat less “pure” due to the inclusion of patients with known CAD (a third of the patients in both groups). I therefore still not completely sure what is the prognostic value in diabetic patients without known CAD and with minimal (or no) symptoms. This is an area of ongoing research. Moreover, will CTA diagnosis change patient outcome? Time will tell…</p>
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