Puel J., Valensi P., Vanzetto G., Lassmann-Vague V., Monin J.-L., Moulin P., Ziccarelli C., Mayaudon H., Ovize M., Bernard S., Van Belle E., Halimi S. Myocardial Ischemia and Diabetes Mellitus. Approa

The outlook epidemiological auguring an increase considerable the number of sub- jects with diabetes and cardiological problem during diabetes, and the recent prog- ress registered in the explorations and the treatment of coronary are necessary for continiun researche. Since long been recognized as a factor of risk vascular age, the diabetes can be regarded as a genuine vascular disease in because of the frequency and in the severity. The share growing, observed and expected, of the population of diabetics, whose prognosis life is dominated by the complication’s coronary up the diabetes mellitus among the priorities of health public in France. The specifi c features of diabetic coronary artery disease, marked by the often-insidious nature of its development, place silent myocardial ischemia (IMS) and possible atheromatous involvement of the epicardial coronary artery trunks at the center of the diagnostic and therapeutic approach. The progress, drug and instrumentals, the treatment of the inadequacy coronary lead naturally to reconsider the treatment, and therefore the screening early to IMS in the aim of reducing the morbidity and the mortality heart of patients with diabetes.