Diabetes is closely related to diabetic heart disease, which is the No.1 cause of death for diabetics. Diabetic heart diseases include micro vessel disease in both heart and great vessels, myocardial disease, cardiovascular autonomic neuropathy and coronary heart disease, which is the most common one. Diabetic coronary heart disease is very similar with the one of non-diabetics, but it also has its clinical characteristics, mainly including the following three points:
The morbidity of diabetic coronary heart disease is 2 to 4 times higher than that of non-diabetics.
Among non-diabetics, morbidity of coronary heart disease in pre-menopausal women is much lower than that of men; but that difference between genders disappears among diabetics, and the morbidity of heart disease among female diabetics is 4 times higher than that of non-diabetic females; the morbidity of heart disease among men with diabetes is 2 times higher than that of non-diabetic men.
Atypical symptoms are common. Due to malfunction in cardiac nerves, the clinical manifestation of diabetic heart disease may be atypical, for example, more than one third of the diabetics can’t feel pain while suffering myocardial infarction, other manifestations include tachycardia, arrhythmia, orthostatic hypotension, hard-to-treat heart failure or shock and even sudden death.
What induce diabetic cardiovascular disease and diabetic cerebrovascular disease are similar, so prevention should be emphasized. The treatment principle is the same as that of ordinary coronary heart disease, that is, patients must strictly control obesity, diabetes, high blood pressure, dyslipidemia and high viscosity; take proper vitamins, antioxidants, vasoactive agent, and antithrombotic; receive medical treatment when suffering cardiac dysfunction or arrhythmia; and take regular electrocardiographic check for the sake of early detection of diabetic heart disease.
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