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Improved ASCVD Screening in Diabetes: a Focus on Scoring Models and Detection Techniques Cover

Figures & Tables

Figure 1.

Relationship between diabetes and atherosclerosis
Relationship between diabetes and atherosclerosis

Figure 2.

Pathways leading to endothelial dysfunction in diabetes mellitus
Pathways leading to endothelial dysfunction in diabetes mellitus

Figure 3.

Prevalence of macrovascular and microvascular complications of diabetes
Prevalence of macrovascular and microvascular complications of diabetes

Overview of prognostic scoring models: populations, variables, and clinical utility

Scoring ModelPopulationVariables includedEndpointAdvantagesLimitations
Framingham Risk Score (FRS) [28]General PopulationAge, sex, smoking, systolic BP, total cholesterol, HDL cholesterol, diabetes10-year risk of coronary heart disease (CHD)Simple, widely used, easy to calculateLimited applicability to non-caucasian populations
Pooled Cohort Equations (PCE) [28]General Population (Including African Americans)Age, sex, total cholesterol, HDL cholesterol, systolic BP, smoking, diabetes, race10-year ASCVD risk (MI, Stroke, CHD death)More inclusive, accounts for racial differencesUnderestimates risk in younger and diabetic individuals
UKPDS Risk Engine [32]Type 2 Diabetes MellitusAge, sex, diabetes duration, HbA1c, total cholesterol, systolic BP, smokingRisk of CHD and stroke in diabetic patientsSpecific for diabetics, includes glycemic controlLacks imaging and novel biomarkers
ADVANCE Risk Score [32]Type 2 Diabetes MellitusAge, sex, diabetes duration, smoking, systolic BP, cholesterol, prior CVD, medication use5-year risk of major cardiovascular events in diabeticsIncorporates prior CVD and treatment factorsShort-term risk prediction (5 years), lacks imaging integration
SCORE2-Diabetes [37]Type 2 Diabetes MellitusAge at diabetes diagnosis, HbA1c, eGFR, total cholesterol, BP10-year risk of cardiovascular disease (CVD) in diabeticsRefined model for diabetics, considers renal functionLimited validation outside European populations
Polygenic Risk Scores (PRS) [29]General Population (Genetic-based Risk)Polygenic risk factors (genetic variants linked to ASCVD)Lifetime genetic risk for ASCVDEarly risk detection, independent of traditional risk factorsLimited clinical integration, performance varies across ethnic groups
DOI: https://doi.org/10.2478/rjim-2025-0009 | Journal eISSN: 2501-062X | Journal ISSN: 1220-4749
Language: English
Page range: 127 - 144
Submitted on: Jan 15, 2025
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Published on: Apr 25, 2025
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Răzvan-Liviu Zanfirescu, Larisa Anghel, Bogdan-Sorin Tudurachi, Alexandra-Mihaela Clement, Alexandra Zăvoi, Laura-Cătălina Benchea, Manuela Ciocoiu, Radu Andy Sascău, Cristian Stătescu, Rodica Radu, published by N.G. Lupu Internal Medicine Foundation
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.