[Epidemiology of heart disease in diabetes].
Diabetes mellitus is a frequent disease--3% of the French population in 1999. Vital prognosis is essentially related to cardiac complications, at least in type 2 diabetic patients, that is 85 to 90% of diabetic subjects. The most frequently observed cardiac complications are symptomatic or silent ischemic coronary disease and myocardial events, followed by heart failure. These complications may also result from cardiac autonomic neuropathy, be manifested by arrhythmia and even lead to sudden death. Data on the prevalence and incidence of these events are scarce, and the epidemiologic characteristics are not the primary aim of publications. This review analyses: cardiovascular drug consumption in French diabetic and non diabetic patients, the incidence and prevalence rates of the most important cardiac complications from some large general prospective studies which included enough diabetic subjects, coronographic severity scores for diabetic and non-diabetic subjects, prognosis following treated coronary events, some prevalence data on cardiac autonomic neuropathy.
Eschwège
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INSERM Unité 258, Villejuif, France.
Guillanneuf
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MT
D015331:Cohort Studies; D048909:Diabetes Complications; D003929:Diabetic Neuropathies / Q000503:physiopathology; D005602:France / Q000453:epidemiology; D006331:Heart Diseases / Q000453:epidemiology*; D006801:Humans