A new study shows that people with diabetes have a higher risk of heart disease, and in heart attacks, they are at higher risk of death than those without diabetes.
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| Diabetes is more likely to die from a heart attack |
Showing posts with label diabetes. Show all posts
Showing posts with label diabetes. Show all posts
Friday, September 28, 2018
Diabetes is more likely to die from a heart attack
Abstract: In this study, researchers at the University of Leeds in the United Kingdom collected medical data from nearly 280,000 patients with ST-segment elevation myocardial infarction and 420,000 patients with non-ST-segment elevation myocardial infarction between 2003 and 2013. Analyzed.
A new study shows that people with diabetes have a higher risk of heart disease, and in heart attacks, they are at higher risk of death than those without diabetes.
The study found that people with diabetes had a 50% higher risk of heart attack than those without diabetes.
A new study shows that people with diabetes have a higher risk of heart disease, and in heart attacks, they are at higher risk of death than those without diabetes.
What are the complications of diabetic coronary heart disease?
The symptom of diabetic myocardial infarction is sudden myocardial infarction based on the symptoms of diabetes, so the condition should be more serious and complicated, but the symptoms of diabetic myocardial infarction are often lighter than non-diabetic myocardial infarction. Bradly compared 100 cases of diabetic myocardial infarction. 100 cases of non-diabetic myocardial infarction, found that diabetic myocardial infarction is mild, moderate chest pain is more common, there are only 6 non-diabetic patients without chest pain, 46 patients in the diabetes group, and the mortality rate of the diabetic group is higher than that of the non-diabetic group, 1975 Solen analyzed the clinical symptoms of 285 patients with diabetic myocardial infarction. As a result, 33% had no typical angina symptoms, and 40% died within one month after the onset. In fact, the symptoms of diabetic myocardial infarction were not mild, but because diabetic patients were accompanied by The findings of peripheral neuritis and autonomic dysfunction have concealed the symptoms of pain and often become a painless myocardial infarction, so the mortality rate is higher, which is a noteworthy clinical feature after the occurrence of diabetic myocardial infarction.
Diabetic myocardial infarction
(1) aura symptoms: some have chest tightness, shortness of breath, or the original paroxysmal becomes persistent; some have angina or pre-palm discomfort, according to the general myocardial infarction observation, the aura symptoms are early and late, its 56.9% of aura symptoms were 1 week before onset; 21.6% were 2 weeks before onset; 6.6% were 3 weeks before onset; the rest were 4 weeks before onset or earlier.
The symptoms of aura are mainly angina pectoris, accounting for 61.8%. It is characterized by frequent pain, increased pain, and prolonged attack time. It is necessary to closely observe the symptoms of aura, and timely treatment is beneficial to the prognosis of myocardial infarction.
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| What are the complications of diabetic coronary heart disease? |
Diabetic myocardial infarction
(1) aura symptoms: some have chest tightness, shortness of breath, or the original paroxysmal becomes persistent; some have angina or pre-palm discomfort, according to the general myocardial infarction observation, the aura symptoms are early and late, its 56.9% of aura symptoms were 1 week before onset; 21.6% were 2 weeks before onset; 6.6% were 3 weeks before onset; the rest were 4 weeks before onset or earlier.
The symptoms of aura are mainly angina pectoris, accounting for 61.8%. It is characterized by frequent pain, increased pain, and prolonged attack time. It is necessary to closely observe the symptoms of aura, and timely treatment is beneficial to the prognosis of myocardial infarction.
What are the diagnostic and examination methods for diabetic coronary heart disease?
Next, let's talk about the diagnosis and examination methods for diabetic coronary heart disease.
Diagnostic diagnosis of diabetic coronary heart disease:
1. The diagnostic criteria for diabetic coronary heart disease are similar to those of non-diabetic patients, but the incidence of painless myocardial ischemia and myocardial infarction is higher in diabetic patients; it should be vigilant, and the diagnostic conditions are as follows:
(1) Diabetes diagnosis is clear;
(2) angina pectoris, myocardial infarction, arrhythmia or heart failure;
(3) The electrocardiogram shows that the S-T segment is horizontally or downwardly inclined, and the amplitude is ≥0.05-0.1 mV, and the T-wave is flat, inverted or biphasic;
(4) Doppler ultrasound suggests left ventricular diastolic and systolic dysfunction, and segmental wall motion is weakened;
(5) Coronary angiography suggests lumen stenosis >50%; it is the most accurate method for diagnosing coronary heart disease;
(6) Radionuclide (such as 201 Tl) examination of myocardial perfusion defects, combined with single photon emission computed tomography (SPECT) or positron emission tomography (PET), can be found in myocardial metabolic abnormalities, help to improve The accuracy of the diagnosis;
(7) Nuclear magnetic resonance imaging (MI) may indicate cardiac macrovascular disease and myocardial infarction;
(8) Exclude other organic heart disease.
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| What are the diagnostic and examination methods for diabetic coronary heart disease? |
1. The diagnostic criteria for diabetic coronary heart disease are similar to those of non-diabetic patients, but the incidence of painless myocardial ischemia and myocardial infarction is higher in diabetic patients; it should be vigilant, and the diagnostic conditions are as follows:
(1) Diabetes diagnosis is clear;
(2) angina pectoris, myocardial infarction, arrhythmia or heart failure;
(3) The electrocardiogram shows that the S-T segment is horizontally or downwardly inclined, and the amplitude is ≥0.05-0.1 mV, and the T-wave is flat, inverted or biphasic;
(4) Doppler ultrasound suggests left ventricular diastolic and systolic dysfunction, and segmental wall motion is weakened;
(5) Coronary angiography suggests lumen stenosis >50%; it is the most accurate method for diagnosing coronary heart disease;
(6) Radionuclide (such as 201 Tl) examination of myocardial perfusion defects, combined with single photon emission computed tomography (SPECT) or positron emission tomography (PET), can be found in myocardial metabolic abnormalities, help to improve The accuracy of the diagnosis;
(7) Nuclear magnetic resonance imaging (MI) may indicate cardiac macrovascular disease and myocardial infarction;
(8) Exclude other organic heart disease.
What are the pathological causes of diabetic heart disease?
The pathological causes of diabetic heart disease mainly include the following:
1. tachycardia at rest
Early diarrhea may involve the vagus nerve, and the sympathetic nerve is relatively excited. Therefore, the heart rate tends to increase. Anyone who has a heart rate of more than 90 beats/min during rest should be suspicious and autonomic dysfunction. This heart rate is often fixed. It is not easily affected by various conditioning reactions. Sometimes the heart rate can reach 130 beats/min, which is more suggestive of vagus nerve injury.
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| What are the pathological causes of diabetic heart disease? |
Early diarrhea may involve the vagus nerve, and the sympathetic nerve is relatively excited. Therefore, the heart rate tends to increase. Anyone who has a heart rate of more than 90 beats/min during rest should be suspicious and autonomic dysfunction. This heart rate is often fixed. It is not easily affected by various conditioning reactions. Sometimes the heart rate can reach 130 beats/min, which is more suggestive of vagus nerve injury.
How to prevent care for diabetic heart disease?
What are the grades of diabetes heart disease prevention care? What lifestyles can be improved to prevent diabetes and heart disease?
1. Primary prevention or primary prevention
Primary prevention of coronary heart disease is actually a prophylactic factor for preventing atherosclerosis. Autopsy has proven that atherosclerosis has occurred since childhood, and some youths are quite serious, so prevention should begin from childhood and inheritance. It has been proven in school that diabetes is a polygenic genetic disease. After the 1970s, coronary heart disease has noticed its genetic problems abroad. Some survey data reported that one parent has coronary heart disease and his child's coronary heart disease occurs. The rate is 2 times that of families without coronary heart disease; 2 parents have coronary heart disease, and the incidence of coronary heart disease in their children is 5 times that of families without coronary heart disease. It can be seen that the occurrence of coronary heart disease is closely related to genetic family factors. Therefore, there are close relatives in the family. People with diabetes, coronary heart disease and high blood pressure should take active primary prevention measures to prevent the occurrence of diabetic coronary heart disease.
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| How to prevent care for diabetic heart disease? |
1. Primary prevention or primary prevention
Primary prevention of coronary heart disease is actually a prophylactic factor for preventing atherosclerosis. Autopsy has proven that atherosclerosis has occurred since childhood, and some youths are quite serious, so prevention should begin from childhood and inheritance. It has been proven in school that diabetes is a polygenic genetic disease. After the 1970s, coronary heart disease has noticed its genetic problems abroad. Some survey data reported that one parent has coronary heart disease and his child's coronary heart disease occurs. The rate is 2 times that of families without coronary heart disease; 2 parents have coronary heart disease, and the incidence of coronary heart disease in their children is 5 times that of families without coronary heart disease. It can be seen that the occurrence of coronary heart disease is closely related to genetic family factors. Therefore, there are close relatives in the family. People with diabetes, coronary heart disease and high blood pressure should take active primary prevention measures to prevent the occurrence of diabetic coronary heart disease.
How is differential diagnosis of diabetic heart disease?
In the previous article, we talked about the symptoms and signs of diabetic heart disease. Now let's talk about the differential diagnosis of diabetic heart disease.
1. The diagnostic criteria for diabetic coronary heart disease are similar to those of non-diabetic patients, but the incidence of painless myocardial ischemia and myocardial infarction is higher in diabetic patients; it should be vigilant, and the diagnostic conditions are as follows:
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| How is differential diagnosis of diabetic heart disease? |
What are the symptoms and signs of diabetic heart disease?
The symptoms and signs of diabetes heart disease you want to know are here:
1. tachycardia at rest
Early diarrhea may involve the vagus nerve, and the sympathetic nerve is relatively excited. Therefore, the heart rate tends to increase. Anyone who has a heart rate of more than 90 beats/min during rest should be suspicious and autonomic dysfunction. This heart rate is often fixed. It is not easily affected by various conditioning reactions. Sometimes the heart rate can reach 130 beats/min, which is more suggestive of vagus nerve injury.
2. Painless myocardial infarction
Because diabetic patients often have autonomic neuropathy, cardiac pain afferent nerve function decline, the incidence of painless myocardial infarction is high, up to 24% to 42%, patients only have nausea, vomiting, congestive heart failure, or performance For arrhythmia, cardiogenic shock, some only fatigue, weakness, dizziness and other symptoms, no obvious pain in the precordial area, it is easy to miss diagnosis and misdiagnosis, the mortality rate is as high as 26% to 58%, diabetic patients with acute myocardial infarction More than non-diabetic patients, the disease is heavier, the prognosis is poor, and easy to re-infarction, the prognosis is worse, prone to cardiac arrest, must be vigilant, usually not strict control of diabetes is more likely to occur, some patients Ventricular fibrillation occurs due to oral hypoglycemic drugs.
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| What are the symptoms and signs of diabetic heart disease? |
Early diarrhea may involve the vagus nerve, and the sympathetic nerve is relatively excited. Therefore, the heart rate tends to increase. Anyone who has a heart rate of more than 90 beats/min during rest should be suspicious and autonomic dysfunction. This heart rate is often fixed. It is not easily affected by various conditioning reactions. Sometimes the heart rate can reach 130 beats/min, which is more suggestive of vagus nerve injury.
2. Painless myocardial infarction
Because diabetic patients often have autonomic neuropathy, cardiac pain afferent nerve function decline, the incidence of painless myocardial infarction is high, up to 24% to 42%, patients only have nausea, vomiting, congestive heart failure, or performance For arrhythmia, cardiogenic shock, some only fatigue, weakness, dizziness and other symptoms, no obvious pain in the precordial area, it is easy to miss diagnosis and misdiagnosis, the mortality rate is as high as 26% to 58%, diabetic patients with acute myocardial infarction More than non-diabetic patients, the disease is heavier, the prognosis is poor, and easy to re-infarction, the prognosis is worse, prone to cardiac arrest, must be vigilant, usually not strict control of diabetes is more likely to occur, some patients Ventricular fibrillation occurs due to oral hypoglycemic drugs.
What is diabetes heart disease?
What is diabetes heart disease?
Diabetic heart disease is one of the leading causes of death in diabetic patients, especially in patients with type 2 diabetes. Generalized diabetic heart disease includes coronary atherosclerotic heart disease (CHD), diabetic cardiomyopathy and diabetic autonomic neuropathy. Diabetic heart disease is often associated with non-diabetic patients. Diabetes patients have a crown Heart disease often manifests as painless myocardial infarction, with large infarct size, more invasive wall infarction, more serious disease, poor prognosis, and higher mortality; such as coronary angiography and clinical exclusion of coronary artery disease, diabetes patients are severe Arrhythmia, cardiac hypertrophy, pulmonary congestion and congestive heart failure, especially refractory heart failure, clinical considerations for diabetic cardiomyopathy.
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| What is diabetes heart disease? |
Is diabetes directly related to heart disease?
Although diabetics have an increased risk of developing heart disease at the same time, heart health can be maintained through changes in diet, exercise and lifestyle.
Most people with diabetes realize that diabetes increases the risk of cardiovascular disease. And the statistics are really shocking: According to the American Diabetes Association, nearly two-thirds of people with diabetes have high blood pressure, and people with diabetes have a greater chance of dying from heart disease or stroke than others without diabetes.
But the good news is: Learn more about the link between heart disease and diabetes can help you take steps to protect your heart and control your diabetes.
 |
| Is diabetes directly related to heart disease? |
But the good news is: Learn more about the link between heart disease and diabetes can help you take steps to protect your heart and control your diabetes.
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