Some complexities of diabetes and the heart

[摘要] Patients with diabetes are at greater risk of coronary artery disease, including severe and diffuse coronary disease, than their peers without diabetes. That’s straight and simple. But there the simplicity ends. Patients with diabetes have comorbidities that contribute to the development of coronary artery disease, including chronic kidney disease, obesity (often with obstructive sleep apnea), hypertension, and dyslipidemias. An individual may have none or all of these shared cardiac risk factors. Successful treatment of some of these comorbidities can reduce the risk of coronary and cardiovascular events, and current guidelines call for aggressive management of blood pressure and lipid levels as well as treatment of proteinuria in an effort to reduce progression of kidney disease.

[学科分类] 卫生学