Diagnosis and treatment coronary heart disease in patients with type 2 diabetes

Abstract

Type 2 diabetes is a significant risk factor for ischaemic heart disease (IHD). IHD is the leading cause of death in persons with type 2 diabetes. Diabetic patients have a risk of cardiovascular events similar to patients with previous myocardial infarction. IHD in diabetics is typically diffuse, affecting both proximal and distal coronary segments and this has the potential to intensify ischaemia. The methods of diagnosis and aims of treating patients with IHD and coexisting type 2 diabetes are the same like in patients with IHD but nondiabetic. Risk factor modification for protecting against IHD and in patients with diagnosed IHD in diabetic patients is a very important terapeutic management. The character of atherosclerosis in diabetics makes revascularization by angioplasty and bypass surgery more difficult and more hazardous. The short- and long-term results of revascularizations procedures tend to be less good in diabetic compared with nondiabetic patients.