2009
DOI: 10.1590/s0004-27302009000600002 View full text |Buy / Rent full text
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Abstract: RESUMOO diabetes melito (DM) é um fator de risco independente para doença arterial coronariana, acidente vascular cerebral, doença vascular periférica e insuficiência cardíaca, que são as principais causas de morte nesses pacientes. Além disso, pacientes com DM e doença cardiovascular têm pior prognóstico, por apresentarem menor sobrevida, maior risco de recorrência da doença e pior resposta aos tratamentos propostos. Os avanços diagnósticos e terapêuticos das últimas décadas já mostram uma redução do risco de… Show more

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“…We found that increased age of patients with type 2 diabetes, as well as a diagnosis for more than 10 years, were considered risk factors 17,18 . Therefore, the history of neuropathic pain and vascular insufficiency, which can be evaluated by the Doppler method measuring the ABI, allows the International Working Group on the Diabetic Foot Guidelines to be interpreted such that persons with peripheral arterial disease symptoms and ABI scores < 0.9 should be assessed for possible revascularization 13,14,17 . Although ABI scores > 1.3 have no correlation with an accurate evaluation of ischemia, they are associated with high cardiovascular risk, as calcification may occur with normal ABI scores in the absence of clinical signs of peripheral arterial disease.…”
Section: Discussionmentioning
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“…We found that increased age of patients with type 2 diabetes, as well as a diagnosis for more than 10 years, were considered risk factors 17,18 . Therefore, the history of neuropathic pain and vascular insufficiency, which can be evaluated by the Doppler method measuring the ABI, allows the International Working Group on the Diabetic Foot Guidelines to be interpreted such that persons with peripheral arterial disease symptoms and ABI scores < 0.9 should be assessed for possible revascularization 13,14,17 . Although ABI scores > 1.3 have no correlation with an accurate evaluation of ischemia, they are associated with high cardiovascular risk, as calcification may occur with normal ABI scores in the absence of clinical signs of peripheral arterial disease.…”
Section: Discussionmentioning
“…In the non-diabetic population, the incidence of ABI changes varied about 8.7%, and the prevalence of 62.2% artery disease was very likely among patients with chronic kidney failure, tobacco use and cardiovascular disease 14 …”
mentioning
“…Contudo, um aspecto que vem sendo debatido intensamente é a validade de realizar rastreamento para a presença de DAC em pacientes com DM sem sintomas de cardiopatia isquêmica, visto que o diabetes já é considerado um equivalente à presença de DAC prévia. Porém, a American Diabetes Association (ADA, 2008) não recomenda o rastreamento de DAC apenas com base na presença de outros fatores de risco cardiovasculares e a American Heart Association (AHA, 2007) recomenda o rastreamento apenas ao iniciar um programa de exercícios vigorosos (19) . Salienta-se a importância de uma rede de apoio possibilitando um processo educativo ao paciente com diabetes ampliando seus conhecimentos a fim de prevenir complicações cardiovasculares, possibilitando maior compreensão da doença e aquisição de hábitos saudáveis.…”
Section: Presença E Característica Da Dorunclassified
“…Diabetes mellitus (DM) and obesity are well-defined risk factors for cardiovascular disease and mortality [1,2]. Both diseases have assumed epidemic proportions in the last few decades [1,3].…”
Section: Introductionmentioning