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Conclusion
Both CS and CFVR obtained by MSCT and by transthoracic Doppler echocardiography assessments, respectively, provide independent and complementary prognostic information in asymptomatic DM patients. When the two parameters are analyzed together, the risk stratification ability improves, even when DM patients are analyzed together with non DM patients. As a result, DM patients with CS ≥200 and CFVR <2 had the worst outcome. Consequently, the use of two tests identified subset of patients who can derive the most benefit from the intensive prevention measures - more aggressive control of the risk factors and more frequent follow-up by noninvasive testing.
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