Nov 20, 2023
"Patients with diabetes bear a higher burden of atherogenic risk factors compared to non-diabetics, encompassing hypertension, obesity, lipid abnormalities, and elevated plasma fibrinogen," says Dr. Vivudh Pratap Singh, Senior Consultant - Interventional Cardiology, Fortis Escorts Heart Institute, Okhla Road, New Delhi.
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Individuals with prediabetes also face an elevated health risk, Dr. Vivudh Pratap Singh further explains. In this article, he writes about the need to manage diabetes for better heart health.
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In contrast to those without diabetes, individuals with diabetes exhibit a higher prevalence of coronary heart disease (CHD), a more extensive coronary ischemia, and an increased likelihood of experiencing a myocardial infarction (MI) and silent myocardial ischemia.
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The National Cholesterol Education Program report in the United States and European guidelines classify type 2 diabetes as a coronary artery disease equivalent, thus assigning it to the highest risk category.
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While most studies confirm that diabetic patients generally have a greater extent of coronary artery disease, exceptions exist.
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Some diabetic patients may experience a diminished perception of ischemic pain, potentially leading to atypical anginal symptoms, silent ischemia, or even silent infarction.
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Strict glycemic control is recommended for both type 1 and type 2 diabetes due to demonstrated benefits in terms of microvascular disease.
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An elevated serum concentration of homocysteine is a recognized risk factor for atherosclerosis, linked to an increased risk of MI and death, with a potentially greater impact on patients with diabetes.
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The increase in CHD risk for patients with diabetes is more pronounced in women than in men.
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Implementing lifestyle changes such as quitting smoking, controlling hypertension, and managing cholesterol levels are crucial preventive measures.
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Regular exercise is associated with a reduced risk of both CHD and cardiac death for both primary and secondary prevention.
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