Department of Cardiology, Mater Dei Hospital, University of Malta, Malta.
J Cardiovasc Med (Hagerstown). 2012 Nov;13(11):760-5. doi: 10.2459/JCM.0b013e3283577295.
Diabetes is well established as a cardiovascular risk factor and is currently regarded as a coronary artery disease equivalent. However, some recent data have contradicted the concept. We review the currently available data and usefulness or otherwise of this concept. While the concept of coronary artery disease equivalence has served to highlight the importance of diabetes as a risk factor, it has a number of problems. We propose that it would be more useful to consider diabetes as a myocardial infarction risk equivalent. This is not only more precise and in line with the literature but also conveys better the message that patients with diabetes and one or more previous myocardial infarction(s) are at even higher risk.
糖尿病是公认的心血管危险因素，目前被视为与冠状动脉疾病等同。然而，一些最近的数据与这一概念相矛盾。我们回顾了目前可用的数据以及这一概念的有用性或其他方面。虽然冠状动脉疾病等同的概念强调了糖尿病作为一个危险因素的重要性，但它存在一些问题。我们建议，将糖尿病视为心肌梗死风险等同更为有用。这不仅更准确，与文献一致，而且更好地传达了这样一个信息，即患有糖尿病和/或一次或多次先前心肌梗死的患者风险更高。
