Diabetes Mellitus Cardiovascular Complications Risk Factors - Equation

Are you evaluating a patient with diabetes mellitus?

Yes

Does the patient have symptoms of coronary artery disease?

Yes

Age of the patient

years

Duration of diabetes

years

Select of diabetes

Does the patient have?

• a significant family history of coronary artery disease?

Yes

• a history of smoking?

Yes

• hypertension?

Yes

• hypercholesterolemia?

Yes

• retinopathy?

Yes

• nephropathy or proteinuria?

Yes

• peripheral vascular disease?

Yes

• autonomic neuropathy?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of findings indicating an increased risk for coronary artery disease

Is the patient at increased risk for underlying coronary artery disease?

Should the patient be evaluated prior to undertaking an exercise program?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Criteria For Diagnosis
- Clinical Score of Morise et al to Estimate the Probability of Coronary Artery Disease in Men and Women
Severity, Prognosis, Stage
Complications
- Equations of Anderson et al for Predicting Cardiovascular Risk Based on the Framingham Study Data
- Coronary Heart Disease Risk Estimator of Christianson et al for a Patient with Type 2 Diabetes

Therapy

Prevention
- Framingham Coronary Heart Disease Risk Prediction Chart

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Specialty

Objective

ICD-10

American Diabetes Association (ADA) Criteria for a Patient with Diabetes Mellitus at Increased Risk for Unsuspected Cardiovascular Disease

Purpose: To determine if a patient with diabetes mellitus but no symptoms of cardiac disease may be at increased risk for cardiovascular disease using ADA criteria.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Specialty

Objective

ICD-10