Myocardial Ischemia and Diabet. Approaches and Recomendation

IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL
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Abstract

The outlook epidemiological auguring an increase considerable the number of subjects with diabetes and cardiological problem during diabet, and the recent progress regis- tered in the explorations and the treatment of coronary are nesessery for continiun researche. Since long been recognized as a factor of risk vascular age, the diabetes can be regarded as a genuine vascular disease in because of the frequency and in the severity. The share growing, observed and expected, of the population of diabetics, whose prognosis life is dominated by the complications coronary up the diabet among the priorities of health public in France. The specific features of diabetic coronary artery disease, marked by the often insidious nature of its development, place silent myocardial ischemia (IMS) and possible atheromatous involvement of the epicardial coronary artery trunks at the center of the diagnostic and therapeutic approach. The progress, drug and instrumentals, the treatment of the inadequacy coronary lead naturally to reconsider the treatment, and therefore the screening early to IMS in the aim of reducing the morbidity and the mortality heart of patients with diabetes
心肌缺血与糖尿病。方法和建议
流行病学的前景预示着糖尿病患者数量的增加和糖尿病期间的心脏病问题,以及最近在冠状动脉的探索和治疗方面取得的进展是继续研究的必要条件。由于长期以来被认为是血管年龄的危险因素,糖尿病因其发病频率和严重程度可被视为一种真正的血管疾病。观察到的和预期的糖尿病患者的比例不断增长,其预后生活主要是由冠心病并发症引起的,这是法国公共卫生的优先事项之一。糖尿病性冠状动脉疾病的特殊特征,以其发展的隐匿性为特征,将无症状心肌缺血(IMS)和可能的动脉粥样硬化累及心外膜冠状动脉干置于诊断和治疗的中心。进展,药物和仪器,治疗冠心病的不足自然导致重新考虑治疗,因此早期筛查到IMS的目的是降低发病率和死亡率的心脏糖尿病患者
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