Management of the diabetic patient with coronary artery disease

Authors: P. Mikeš;  J. Murín
Authors‘ workplace: I. interná klinika Lekárskej fakulty UK a FNsP Bratislava, Slovenská republika, prednostka doc. MUDr. Soňa Kiňová, Ph. D.
Published in: Vnitř Lék 2009; 55(Suppl 1)(Supplementum 1): 97-102


The prevalence of 2 type diabetes in the world as a consequence of modern urban lifestyle is convincingly growing. Diabetes together with other risk factors for cardiovascular disease creates a part of metabolic syndrome. Diabetic cardiomyopathy is defined as heart failure in diabetic patient without any other known reason and an impairment of myocardial metabolism with preference of less efficient free fatty acids beta oxidation in generating ATP is typical for it. The main goal in the management of diabetic patient with CAD is to prevent macro‑ and microvascular complications and improve the prognosis of the patient. To achieve this we need a multifactorial approach concerning lifestyle modification, medical therapy and strict control of glycaemia.

Key words:
diabetic cardiomyopathy – coronary artery disease – management


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