Pedro-Botet Juan, Chillarón Juan J, Benaiges David, Flores-Le Roux Juana A
Servicio de Endocrinología y Nutrición, Hospital del Mar, Departament de Medicina, Universitat Autònoma de Barcelona, Barcelona, España.
Servicio de Endocrinología y Nutrición, Hospital del Mar, Departament de Medicina, Universitat Autònoma de Barcelona, Barcelona, España.
Clin Investig Arterioscler. 2016 May-Jun;28(3):154-63. doi: 10.1016/j.arteri.2015.10.003. Epub 2015 Dec 2.
Patients with type2 diabetes mellitus have a high to very high cardiovascular risk, and often have other associated risk factors, such as hypertension, obesity and dyslipidaemia. Cardiovascular disease is the leading cause of morbidity and mortality in this population. An integrated control of all risk factors in patients with diabetes is essential for minimising the risk of macrovascular complications. Given the benefits of the multifactorial intervention strategies for cardiovascular prevention in diabetic patients, a review is presented on the therapeutic goals established for each risk factor in diabetes and the benefits of their control.
2型糖尿病患者具有高至非常高的心血管风险,并且常常伴有其他相关风险因素,如高血压、肥胖和血脂异常。心血管疾病是该人群发病和死亡的主要原因。对糖尿病患者的所有风险因素进行综合控制对于将大血管并发症的风险降至最低至关重要。鉴于多因素干预策略对糖尿病患者心血管预防的益处,本文对为糖尿病患者各风险因素确立的治疗目标及其控制的益处进行综述。