Department of Clinical and Experimental Medicine, Federico II University Medical School, Napoli, Italy.
Nutr Metab Cardiovasc Dis. 2011 Oct;21(10):757-64. doi: 10.1016/j.numecd.2011.07.005. Epub 2011 Sep 7.
The screening and best treatment for coronary heart disease in diabetic patients is still a matter of debate. For this reason the main Italian scientific societies dealing with diabetes and cardiovascular diseases have tried to finalize a document providing shared recommendations based on the available evidence on : 1) how and who to screen for coronary heart disease, 2) methodologies for the characterization of existing coronary heart disease 3) evaluation of the optimal treatment of cardiovascular risk factors and 4) appropriate revascularization procedures. For each of these points, the levels of evidence and strength of recommendations used in the Italian Standard of Care were adopted.
对于糖尿病患者的冠心病筛查和最佳治疗方法仍存在争议。基于此,意大利主要的糖尿病和心血管疾病科学协会试图制定一份文件,提供基于现有冠心病相关证据的共识推荐意见,包括:1)如何以及对谁进行冠心病筛查;2)现有冠心病的特征化方法;3)心血管危险因素的最佳治疗评估;4)适当的血运重建程序。对于上述每一点,都采用了意大利护理标准中使用的证据水平和推荐强度。