Cardiovascular risks in type 2 diabetes and secondary cardiovascular prevention.
In order to emphasize the necessity of treating aggressively the main cardiovascular risk factors (hypertension, hypercholesterolemia, smoking) in diabetics, it was proposed in 1998 to assimilate their absolute risk level to that of non diabetics with a history of myocardial infarction. In this short review, it is recalled that diabetics (and coronary patients as well) constitute heterogeneous groups and the results of such comparisons depend heavily on the selection of the two groups as shown by published works on this topic since 1998. Anyway, the treatment of the main risk factors in true diabetics should be strict and new preventive approaches by treating the disease itself are awaited.
Ducimetière
P
P
Unité INSERM 258-Epidémiologie cardiovasculaire et métabolique, France. Pierre.Ducimetiere@vjf.inserm.fr
D002318:Cardiovascular Diseases / Q000453:epidemiology* / Q000401:mortality / Q000517:prevention & control; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000503:physiopathology*; D003925:Diabetic Angiopathies / Q000453:epidemiology* / Q000517:prevention & control; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D006937:Hypercholesterolemia / Q000150:complications; D006973:Hypertension / Q000150:complications; D008297:Male; D009203:Myocardial Infarction / Q000453:epidemiology; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects; D020521:Stroke / Q000453:epidemiology