Heart disease in diabetic patients

被引:54
作者
Mihaela C. Blendea
Samy I. McFarlane
Esma R. Isenovic
Gregory Gick
James R. Sowers
机构
[1] Department of Medicine, State Univ. New York Hlth. Sci. Ctr., Brooklyn, NY 11203
关键词
Diabetic Patient; Coronary Artery Bypass Graft; Autonomic Neuropathy; Diabetic Cardiomyopathy; United Kingdom Prospective Diabetes Study;
D O I
10.1007/s11892-003-0068-z
中图分类号
学科分类号
摘要
Both type 1 and type 2 diabetic patients have an increased incidence of ischemic heart disease and congestive heart failure. Cardiovascular disease accounts for up to 80% of the excess mortality in patients with type 2 diabetes. The burden of cardiovascular disease is especially pronounced in diabetic women. Factors that underlie diabetic heart disease include multiple vessel coronary artery disease, long-standing hypertension, metabolic derangements such as hyperglycemia and dyslipidemia, microvascular disease, and autonomic neuropathy. There is also increased sudden death associated with diabetes, which is due, in part, to the underlying autonomic neuropathy. This article reviews diabetic cardiac disease, with an emphasis on type 2 diabetes. Copyright © 2003 by Current Science Inc.
引用
收藏
页码:223 / 229
页数:6
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