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Current International Diabetes Federation (IDF) and American Diabetes Association (ADA) guidelines advocate investigation for coronary artery disease (CAD) in only those patients who have either typical/atypical cardiac symptoms or an abnormal resting ECG. As it is well established that diabetics with CAD may be asymptomatic, we hypothesised that a large proportion of asymptomatic diabetics may have coronary arterial plaques causing significant stenosis which goes undetected with current guidelines.

An evaluation of coronary artery plaque burden in asymptomatic type 2 diabetics using dual-source CT coronary angiography