Breschi L, Miti L, Civerchia D
Arch Sci Med (Torino). 1978 Apr-Jun;135(2):197-208.
The literature data regarding the incidence of coronary, cerebral and lower extremity atherosclerosis in diabetes are reviewed. A retrospective assessment of data relating to in-patients of the Umberto I Hospital Medical Division during 1972-1975 showed that atherosclerosis occurs more often and earlier in diabetics. It is more frequent in women over 50, especially in the case of coronary forms. A similar high incidence of vascular lesions is also noted in subclinical forms. This is particularly true of coronary sites in females and lower extremity sites in males. It is clear that screening for glucose intolerance in all vasculopathic subjects, coupled with careful genetic and familial investigation, are essential acids to preventive and social medicine in this particular sector.
回顾了有关糖尿病患者冠状动脉、脑和下肢动脉粥样硬化发病率的文献资料。对1972年至1975年翁贝托一世医院内科住院患者的数据进行的回顾性评估表明,动脉粥样硬化在糖尿病患者中发生得更频繁且更早。在50岁以上的女性中更为常见,尤其是在冠状动脉疾病方面。在亚临床形式中也观察到类似的高血管病变发生率。女性的冠状动脉部位和男性的下肢部位尤其如此。显然,对所有血管病变患者进行葡萄糖耐量筛查,并进行仔细的遗传和家族调查,是这一特定领域预防医学和社会医学的重要举措。