Diabetes mellitus type 1 and coronary artery disease with severe systolic heart failure in 25 year-old adult

IF 0.7 Q4 ENDOCRINOLOGY & METABOLISM
Diabetes Mellitus Pub Date : 2022-11-30 DOI:10.14341/dm12865
A. A. Voznesenskaya, I. Bondarenko, K. Melkozerov, R. Kosharnaya, A. S. Zakharov, M. Y. Movsesyants, M. Kuklina, V. Kalashnikov
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引用次数: 0

Abstract

Diabetes mellitus (DM) type 1 accounts for up to 90% of all cases of diabetes among children, adolescents and young adults (10 % are represented by T2DM, MODY, etc.). DM is characterized not only by glucose metabolism disorder, but also by abnormal protein and lipid metabolism, leading to severe macrovascular complications. A clinical case of diabetes type 1, hyperlipidemia, coronary artery disease (CAD) and chronic heart failure (HF) in a 25-year-old adult has been demonstrated. The medical examination revealed lipid metabolism disorders, multivessel coronary artery disease, which required myocardial revascularization, and severe heart failure with a reduced ejection fraction (HFrEF). The clinical case demonstrates that proper cardiovascular examination should be performed in all patients with diabetes and lipid disorders, regardless of age and type of diabetes. The authors also consider the use of sodium-glucose 
25岁成人1型糖尿病和冠状动脉疾病合并严重收缩期心力衰竭
1型糖尿病(DM)占儿童、青少年和年轻人所有糖尿病病例的90%(10%为2型糖尿病、MODY等)。糖尿病不仅表现为糖代谢紊乱,还表现为蛋白质和脂质代谢异常,导致严重的大血管并发症。临床病例1型糖尿病,高脂血症,冠状动脉疾病(CAD)和慢性心力衰竭(HF)在25岁的成年人已经证明。医学检查显示脂质代谢紊乱,多支冠状动脉疾病,需要心肌血运重建,严重心力衰竭伴射血分数降低(HFrEF)。临床病例表明,所有糖尿病和脂质紊乱患者,不论年龄和糖尿病类型,都应进行适当的心血管检查。作者还考虑使用钠-葡萄糖
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来源期刊
Diabetes Mellitus
Diabetes Mellitus ENDOCRINOLOGY & METABOLISM-
CiteScore
1.90
自引率
40.00%
发文量
61
审稿时长
7 weeks
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