Simpfendorfer C
Department of Cardiology, Cleveland Clinic Foundation, OH 44195.
Cleve Clin J Med. 1993 Mar-Apr;60(2):145-9. doi: 10.3949/ccjm.60.2.145.
Diabetes mellitus is an independent risk factor for coronary artery disease. In addition, ischemic heart disease is the major cause of mortality among diabetic patients. Early and late mortality after acute myocardial infarction is higher among diabetic patients. However, the effectiveness of newer treatments on diabetic patients with coronary artery disease has received little attention. This article reviews the effect of beta blockers and thrombolysis in diabetic patients after acute myocardial infarction and compares early and late results of percutaneous transluminal coronary angioplasty in diabetic patients with those in the nondiabetic population.
糖尿病是冠状动脉疾病的独立危险因素。此外，缺血性心脏病是糖尿病患者死亡的主要原因。糖尿病患者急性心肌梗死后的早期和晚期死亡率较高。然而，新型治疗方法对糖尿病冠状动脉疾病患者的有效性很少受到关注。本文综述了β受体阻滞剂和溶栓治疗对糖尿病患者急性心肌梗死后的影响，并比较了糖尿病患者与非糖尿病人群经皮腔内冠状动脉成形术的早期和晚期结果。
