[Characteristics of the course of ischemic heart disease and diabetes mellitus occurring jointly].
Findings of research into the specific course of ischaemic heart disease (IHD) concurrent with diabetes mellitus are analysed. Diabetic patients were found to have a more severe course of IHD after myocardial infarction, which was more often complicated with arrhythmias, cardiac failure, and unstable angina. The incidence of painless IHD after myocardial infarction was found to be twice higher in diabetics. A consistent relationship between the severity of diabetes and an increase in painless IHD incidence was noted. Diabetes was found to aggravate the IHD course irrespective of the patient's age. A correlation was observed between the severity of IHD and insulinaemia. Certain functional-diagnosis methodologies are shown to be most informative in the differential diagnosis of IHD and diabetic cardiomyopathy. The high efficacy of a complex therapy including beta-blockers and angioprotectors in concurrent IHD and diabetes is demonstrated.
V S
VS
Gasilin
V G
VG
Popov
A I
AI
Martynov
N K
NK
Rozova
O I
OI
Smirnova
D003327:Coronary Disease / Q000150:complications* / Q000175:diagnosis; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000175:diagnosis; D006801:Humans
Osobennosti techeniia ishemicheskoĭ bolezni serdtsa i sakharnogo diabeta pri ikh sochetanii