Coronary heart disease in diabetes mellitus : risk factors and epidemiology
Autor(a) principal: | |
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Data de Publicação: | 2004 |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10451/33056 |
Resumo: | Cardiovascular complications in diabetic patients, especially type 2, can be classified as microvascular (renal, ophthalmologic and neurologic) and macrovascular (coronary, cerebrovascular and peripheral vascular). Type 1 and 2 diabetic patients have increased cardiovascular risk, especially for coronary artery disease. This has been well established through high-quality studies, as have interventions to ameliorate the major risk factors. The main risk factors for increased incidence of coronary artery disease in diabetic patients include hyperlipidemia, hypertension, smoking, microalbuminuria and hyperglycemia. The therapeutic approach to the type 2 diabetic patient should include--if there is no individual contraindication--diet control, physical exercise, smoking cessation and, particularly, pharmacologic interventions with antiplatelets (mainly aspirin and clopidogrel) and/or anticoagulants (warfarin), angiotensin-converting enzyme inhibitors, angiotensin II receptor antagonists, beta-blockers and anti-dyslipidemics (mainly statins), as well as oral antidiabetics (or insulin). In this paper we present and discuss the results of lowering cardiovascular risk in these patients, which should lead to a marked decrease in the incidence of coronary artery, cerebrovascular and peripheral vascular disease, with consequent improvement in prognosis. |
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Coronary heart disease in diabetes mellitus : risk factors and epidemiologyA doença coronária na diabetes mellitus : factores de risco e epidemiologiaType 1 and 2 diabetes mellitusCardiovascular risk factorsPrimary and secondary prevention of coronary heartCardiovascular complications in diabetic patients, especially type 2, can be classified as microvascular (renal, ophthalmologic and neurologic) and macrovascular (coronary, cerebrovascular and peripheral vascular). Type 1 and 2 diabetic patients have increased cardiovascular risk, especially for coronary artery disease. This has been well established through high-quality studies, as have interventions to ameliorate the major risk factors. The main risk factors for increased incidence of coronary artery disease in diabetic patients include hyperlipidemia, hypertension, smoking, microalbuminuria and hyperglycemia. The therapeutic approach to the type 2 diabetic patient should include--if there is no individual contraindication--diet control, physical exercise, smoking cessation and, particularly, pharmacologic interventions with antiplatelets (mainly aspirin and clopidogrel) and/or anticoagulants (warfarin), angiotensin-converting enzyme inhibitors, angiotensin II receptor antagonists, beta-blockers and anti-dyslipidemics (mainly statins), as well as oral antidiabetics (or insulin). In this paper we present and discuss the results of lowering cardiovascular risk in these patients, which should lead to a marked decrease in the incidence of coronary artery, cerebrovascular and peripheral vascular disease, with consequent improvement in prognosis.As complicações cardiovasculares dos doentes diabéticos, especialmente tipo 2, podem dividir-se em microvasculares (renais, oftálmicas e neurológicas) e macrovasculares (coronárias, cérebrovasculares e arteriais periféricas). Os doentes diabéticos (tipo 1 ou 2) encontram-se em risco aumentado de doença cardiovascular, especialmente coronária. O risco está bem determinado em estudos de excelente qualidade, e a eficácia das intervenções nos factores de risco major também. Os principais factores de risco para uma incidência aumentada de doença coronária em doentes com diabetes mellitus incluem a hiperlipidémia, hipertensão, tabagismo, microalbuminúria e hiperglicémia. O esquema de tratamento do diabético tipo 2 deverá portanto incluir sempre – se não houver qualquer contra-indicação individual – a manutenção do peso ideal, uma dieta racional, exercício físico, cessação tabágica e, especialmente, intervenções farmacológicas com antiagregantes (principalmente aspirina e clopidogrel) e/ou anticoagulantes (varfarina), inibidores do enzima de conversão, antagonista dos receptores da angiotensina II, beta-bloqueantes e antidislipidémicos (principalmente estatinas), para além dos antidiabéticos orais (ou insulina). Neste artigo apresenta-se e discute-se o resultado da diminuição do risco cardiovascular nestes doentes, que se deverá traduzir por uma diminuição muito marcada da incidência de doença coronária, cerebrovascular e periférica, melhorando deste modo globalmente o seu prognóstico.Sociedade Portuguesa de CardiologiaRepositório da Universidade de LisboaCarneiro, António Vaz2018-04-30T14:23:26Z2004-102004-10-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/33056porRev Port Cardiol 2004;23 (10):1359-13660870-2551info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:27:30Zoai:repositorio.ul.pt:10451/33056Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:48:04.635870Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Coronary heart disease in diabetes mellitus : risk factors and epidemiology A doença coronária na diabetes mellitus : factores de risco e epidemiologia |
title |
Coronary heart disease in diabetes mellitus : risk factors and epidemiology |
spellingShingle |
Coronary heart disease in diabetes mellitus : risk factors and epidemiology Carneiro, António Vaz Type 1 and 2 diabetes mellitus Cardiovascular risk factors Primary and secondary prevention of coronary heart |
title_short |
Coronary heart disease in diabetes mellitus : risk factors and epidemiology |
title_full |
Coronary heart disease in diabetes mellitus : risk factors and epidemiology |
title_fullStr |
Coronary heart disease in diabetes mellitus : risk factors and epidemiology |
title_full_unstemmed |
Coronary heart disease in diabetes mellitus : risk factors and epidemiology |
title_sort |
Coronary heart disease in diabetes mellitus : risk factors and epidemiology |
author |
Carneiro, António Vaz |
author_facet |
Carneiro, António Vaz |
author_role |
author |
dc.contributor.none.fl_str_mv |
Repositório da Universidade de Lisboa |
dc.contributor.author.fl_str_mv |
Carneiro, António Vaz |
dc.subject.por.fl_str_mv |
Type 1 and 2 diabetes mellitus Cardiovascular risk factors Primary and secondary prevention of coronary heart |
topic |
Type 1 and 2 diabetes mellitus Cardiovascular risk factors Primary and secondary prevention of coronary heart |
description |
Cardiovascular complications in diabetic patients, especially type 2, can be classified as microvascular (renal, ophthalmologic and neurologic) and macrovascular (coronary, cerebrovascular and peripheral vascular). Type 1 and 2 diabetic patients have increased cardiovascular risk, especially for coronary artery disease. This has been well established through high-quality studies, as have interventions to ameliorate the major risk factors. The main risk factors for increased incidence of coronary artery disease in diabetic patients include hyperlipidemia, hypertension, smoking, microalbuminuria and hyperglycemia. The therapeutic approach to the type 2 diabetic patient should include--if there is no individual contraindication--diet control, physical exercise, smoking cessation and, particularly, pharmacologic interventions with antiplatelets (mainly aspirin and clopidogrel) and/or anticoagulants (warfarin), angiotensin-converting enzyme inhibitors, angiotensin II receptor antagonists, beta-blockers and anti-dyslipidemics (mainly statins), as well as oral antidiabetics (or insulin). In this paper we present and discuss the results of lowering cardiovascular risk in these patients, which should lead to a marked decrease in the incidence of coronary artery, cerebrovascular and peripheral vascular disease, with consequent improvement in prognosis. |
publishDate |
2004 |
dc.date.none.fl_str_mv |
2004-10 2004-10-01T00:00:00Z 2018-04-30T14:23:26Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10451/33056 |
url |
http://hdl.handle.net/10451/33056 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Rev Port Cardiol 2004;23 (10):1359-1366 0870-2551 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Cardiologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Cardiologia |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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