fa تخصصي Special پژوهشي Research <p>Objective: The risk of cardiac death in diabetic patients is 3 times more than non-diabetics. But it is not determined who need cardiac screening. About 41% of diabetic patients with silent ischemia are missed. the carotid intima-media thickness (CIMT) and ankel brachial index are two independent,simple and non invasive method in vascular complications diagnosis in diabetic patients.The aim of this study was to evaluate the assosiation of CIMT and ABI in prediction of silent myocardial ischemia in myocardial perfusion scintigraphy in Asymtomatic diabetic papulation.</p> <p>Materials and Methods: This was an analytic cross-sectional study. The convenient sampling was used. About 114 patients with diabetics and no history and symptom of coronary artery disease (CAD) were included. Myocardial perfusion scan (MPI), CIMT and ABI were done. All of statistical analysis was done by SPSS-20.</p> <p>Results: Totally114 diabetic patients without cronary artery disease symptoms were included .About 66.7% were female. The mean age of patients was 53.8&plusmn; 8.6 years old. About 50% (57) of patients were normal. The mean of CIMT was 0.93 &plusmn; 0.21 and mean ABI was 0.97 &plusmn; 0.11. Regarding the anlysis of variance (ANOVA) there were significant differences of mean CIMT and ABI between normal and moderate to severe ischemia in MPI.</p> <p>Conclusion: Our findings showed that CIMT and ABI is significantly different between patients with and without ischemia. The CIMT and ABI are simple, non-invasive, and inexpensive tests that may be used to identify individuals who are at high risk of developing cardiovascular disease (diabetic patients).</p> Carotic intima media thickness, Ankel brachial index, Silent ischemia, Myocardial perfusion scan, Diabetes. 153 158 http://ijdo.ssu.ac.ir/browse.php?a_code=A-10-30-122&slc_lang=fa&sid=1 Seid Kazem Razavi Ratki No MD, Assistant Professor of Nuclear Medicine, Department of Radiology, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Seyed Ali Sadr Bafghi No MD, Cardiologist, Afshar Hospital, Shahid Sadoughi University of Medical Sciences Yazd, Iran. Seid Hossein Razavi No DDH, Assistant Professor of Maxilo Facial Radiology Dental Factuly Shahid Sadoughi University of Medical Sciences, Yazd, Iran Seyed Mohamad Hossein Sadr Bafghi No MD, Shahid Sadoughi University of Medical Sciences Yazd, Iran. Alireza Mardanshahi No Nuclear Medicine Specialist, Department of Radiology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran. Nasim Namiranian No Assistant Professor Community Medicine. Diabetes Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Naser Hossein Sartipzadeh No MD, Department of Cardiology, Afshar Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Mohamad Ali Jelodari No Nuclear Medicine Technologist. Shahid Sadoughi University of Medical Sciences, Yazd, Iran Reza Nafisi Moghadam Yes MD, Associated professor, Department of Radiology, Shahid Sadooghi University of Medical Sciences, Ya Hassan Haghaninejad No Assistant professor, Department of Cardiology, Afshar Hospital, shahid sadoughi university of medical sciences