CME Course

Risk of Silent Myocardial Infarction in Prediabetic Patients: A Case-Control Study in a Veteran Population

 The goal of this study was to investigate the association between glucose levels and silent myocardial infarction (SMI) among patients, who consisted of veterans within the Veterans Affairs clinical system.

This Course is Free to All Healthcare Professionals

Please choose an option below to continue:

Log In

Existing account holders can login now to start this course immediately.

Sign Up

Create an account to access this free content, it takes only a moment and you will not be asked for payment information.

Premium Access

Premium members get access to the courses, the entire Southern Medical Journal and more. View all membership plans and benefit packages.

Target Audience

Southern Medical Journal (SMJ) is an interdisciplinary, multi-specialty Journal, and articles span the spectrum of medical topics, providing timely, up-to-date information for primary care physicians and specialists alike. The SMJ enables physicians to provide the best possible care to patients in this age of rapidly changing modern medicine.  Therefore, the readers of the SMJ are an appropriate target for this article.

Goals and Objectives

In the management of cardiovascular disease, it is important to identify patients at risk early on, to provide interventions to prevent the disease and its complications. Diabetic patients are increasingly recognized as being more at risk of having SMI. The prevalence is estimated to be between 2% and 7% higher in diabetic patients than nondiabetic patients. What is more alarming is that diabetic patients tend to have a very poor prognosis as demonstrated by adverse cardiac events and even death. Even if the relation between SMI and diabetes mellitus (DM) has been well established, less is known regarding the relation between SMI and pre-DM (defined as blood glucose 100–125 mg/dL).

The goal of this study was to investigate the association between glucose levels and silent myocardial infarction (SMI) among patients, who consisted of veterans within the Veterans Affairs clinical system. SMIs have been shown to be predictive of subsequent cardiovascular events, including another MI and death, and that indicates the importance of identifying a group at high risk for a SMI. As such, the findings of this study could be extremely beneficial for targeted intervention toward prediabetics and to improve health outcomes in the entire population. At the conclusion of the activity, learners should be better prepared to:

  • Review the currently known association between diabetes and heart disease.
  • Recognize the potential association between prediabetes and silent myocardial infarctions.
  • Assess the risks within your clinical treatment population of prediabetic patients for having a silent myocardial infarction.
  • Develop an evaluation, mitigation, and prevention plan for this at-risk population of your patients.

Course Information

CME Release Date: July 7, 2021
Valid for credit through: July 6, 2022
Course type: CME Journal Article 
Estimated time of completion: 1 hour

Credits Available

Southern Medical Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Southern Medical Association designates this Journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AAPA: AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of .50 hours of Category I credit for completing this activity.

AANPCP: The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.

Healthcare Professionals
For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.  All healthcare professionals who are not MDs or DOs will receive a certificate of participation.

Instructions for Participation and Credit

This activity is designed to be completed within the time designated; learners should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period noted, following these steps:

  • Read the goals and objectives, accreditation information, and author disclosures.
  • Login in below to study the educational content and references.
  • Complete the attestation, post-test (if applicable), and evaluation.

Upon successful completion of these components, your certificate will be processed and emailed from [email protected] within approximately 1 hour. Credits will be archived for 6 years; at any point within this time period you may login to your account to print a duplicate copy of your certificate.

Disclosure of Relevant Financial Relationships

Southern Medical Association (SMA) requires instructors, planners, managers, and all other individuals who are in a position to control the content of this activity to disclose conflicts of interest (COI) with ineligible entities within the last 24 months of the development of this activity. All identified COIs are thoroughly vetted and mitigated prior to the release of the activity. SMA is committed to providing its learners with high quality activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.

The following individuals, unless otherwise notedhave no relevant financial relationships to disclose.

Manuscript Author(s):
Eknath Naik, MD, PhD
Deepa Dongarwar, MS
Fabio Leonelli, MD
Philip Foulis, MD, MPH
Paul Leaverton, PhD
Christine Le, MD
Deepika Kulkarni, MD
Koushik Reddy, MD
Amy Alman, PhD
Phong Ong, MD
Adam Zoble, MS
Hamisu M. Salihu, MD, PhD

Southern Medical Association/Southern Medical Journal Editorial Staff:
Steven T. Baldwin, MD, SMJ Editor-in-Chief
G. Richard Holt, MD, Interim SMJ Editor-in-Chief
Jennifer S. Price, MA, Managing Editor
Anita McCabe, Copyeditor

Course Materials

This Course is Free to All Healthcare Professionals

Please choose an option below to continue:

Log In

Existing account holders can login now to start this course immediately.

Sign Up

Create an account to access this free content, it takes only a moment and you will not be asked for payment information.

Premium Access

Premium members get access to the courses, the entire Southern Medical Journal and more. View all membership plans and benefit packages.