[Macrovascular diabetic complications: clinical characteristics, diagnosis and management].
Diabetes mellitus (DM) is an independent risk factor for coronary heart disease, stroke, peripheral arterial disease and heart failure, which are the main causes of death in these patients. Moreover, patients with DM and cardiovascular disease have a worse prognosis than nondiabetics, present lower short-term survival, higher risk of recurrence of the disease and a worse response to the treatments proposed. In the last decades, diagnostic and therapeutic progress had already shown benefits concerning cardiovascular risk reduction in these patients, but their absolute mortality risk is still twice that of non-diabetic patients. Because of this, the adoption of intensive treatment, with strict cardiovascular risk factor control, is a priority. The present study presents the main clinical characteristics and also the practical approach for screening, diagnosis and treatment of patients with diabetic macrovascular disease.
Triches
Cristina
C
Programa de Pós-graduação em Ciências Médicas: Endocrinologia e Metabologia, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil.
Schaan
Beatriz D'Agord
BD
Gross
Jorge Luiz
JL
Azevedo
Mirela Jobim de
MJ
D003324:Coronary Artery Disease / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D003925:Diabetic Angiopathies / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D006801:Humans; D016491:Peripheral Vascular Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D012307:Risk Factors; D020521:Stroke / Q000175:diagnosis / Q000209:etiology / Q000628:therapy