Prevalence and Predictors of Silent Myocardial Ischemia in Diabetic Patients

SMI affects over one-third of diabetic individuals, often going undetected due to the absence of symptoms and limitations in routine screening. Key risk factors include smoking, poor glycemic control, long-standing diabetes, dyslipidemia, hypertension, and increasing age-particularly beyond 55 years. Incorporating non-invasive cardiac assessments such as stress ECG and myocardial perfusion imaging into screening protocols for high-risk diabetics can enable earlier diagnosis, timely intervention, and ultimately reduce the burden of future cardiovascular events.