Patients with coronary artery disease should be concerned about blood sugar

• Author: admin
• Filed under: Heart disease
• Date: Nov 8,2008

More and more research shows that high blood sugar and cardiovascular disease may exist between the co-incidence basis. High blood sugar is independent of cardiovascular disease risk factors, particularly postprandial hyperglycemia, cardiovascular disease is more of an early warning signal. As a result, the treatment of cardiovascular disease at the source from the beginning, the need for active control of blood sugar, high blood pressure and lipid control, adverse changes in the way of life.

China’s population of coronary heart disease prevalence rate of abnormal glucose metabolism 80%, the majority of patients with coronary heart disease abnormal glucose metabolism. Cardiovascular disease is an important complication of high blood sugar and complications. A growing body of research shows that high blood sugar and cardiovascular disease may exist between the incidence of common basis for type 2 diabetes is coronary heart disease risk, and so has been reached, coronary heart disease in patients with diabetes is the leading cause of death. Diabetes patients suffering from cardiovascular disease without the risk of diabetes is 2 times to 4 times. No history of myocardial infarction patients with diabetes over the next 8 years to 10 years the risk of myocardial infarction as high as 20%. These figures suggest that the abnormal glucose metabolism in patients with poor prognosis, especially coronary heart disease and high blood sugar of high-risk patients.

Early coronary heart disease in patients with blood sugar screening is essential. In all patients with coronary heart disease, not diagnosed with diabetes, should carry out routine oral glucose tolerance test, which measured fasting glucose 2 hours after oral administration of intravenous plasma glucose. If the non-diabetic symptoms, found two fasting blood glucose than 7.0mmol / L, can be diagnosed with diabetes, do not have to line testing OGTT; if symptoms of diabetes, and a fasting blood glucose than 7.0mmol / L, can be diagnosed with diabetes , Do not need to line testing OGTT; for normal blood sugar, diabetes prevention and treatment guidelines for China should be carried out once a year regular checks of blood glucose.

Coronary heart disease and abnormal glucose metabolism in the treatment of disease should be based on the degree of discrimination, usually include the following:

Positive control of blood sugar, complications of diabetes prevention. Diabetes is a disease occurred in the development of coronary heart disease. As a result, early diagnosis of diabetes, early use of controlled diet, taking hypoglycemic agents or insulin injections, and other forms of treatment to control diabetes is the most important complications of diabetes prevention and treatment measures.

The treatment of blood pressure and abnormal blood lipids. Blood pressure control should be the first choice of angiotensin-converting enzyme inhibitors, such as drugs to control blood pressure, not only in regard to good effect and can reverse cardiac hypertrophy, coronary artery to improve blood supply. Diabetes easily combined dyslipidemia, and abnormal blood lipid and coronary heart disease is a major factor. In the control of blood lipids, cholesterol down to drugs (statins, such as Xuezhikang, such as Lipitor force).

To improve the application of myocardial ischemia may be used. Calcium antagonists (Shuang He Xin), the expansion of blood vessels, β-blockers (Atenolol) can slow down the heart rate and reduce myocardial oxygen, nitrate agents (Xin Kang), the expansion of blood vessels. In addition, the contraindication in the absence of aspirin can be used to prevent thrombosis.

— Involved in the treatment of stenting. General thigh through the roots of the femoral artery on the wrist or the radial artery coronary angiography done to find out the location and extent of the disease, and then through blood vessels into the heart stent inside the coronary artery, blood vessels narrow open lesion to the lifting of the coronary Artery stenosis. But it should be emphasized that the stent can not be “once and for all,” If the blood vessels open after not pay attention to control blood pressure, blood sugar and blood lipids, it is prone to restenosis.

— Surgical treatment of coronary artery bypass grafting. Severe coronary artery disease, or more narrow when the purposes of coronary artery bypass grafting. The operation in the leg, chest or upper arm get their own section of the vessel, the aorta and coronary artery linking between. The surgery is relatively low restenosis rate, generally 10 years is not easy to relapse.

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