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(atherosclerotic cardiovascular
disease in diabetic patients)
Assist. lect. dr. Ariel Florentiu
MICROVASCULAR COMPLICATIONS
in adults1
Diabetic
nephropathy
Leading cause of
endstage renal
disease2
Diabetic
neuropathy
Leading
cause of nontraumatic
lower
extremity
amputations2
Stroke
Two- to four-fold
increase in CV
mortality and
stroke2
Cardiovascul
ar disease
65%of
individuals with
diabetes die
from CV events2
Peripheral
arterial Disease
Prevalence of 29% in
diabetic people
> 50 years3
MACROVASCULAR COMPLICATIONS
Diabetic
retinopath
Leading cause
y
of blindness
Most complications arise from damage to small blood vessels and narrowing of
large arteries (atherosclerosis) associated with chronic hyperglycaemia.
Tight control of glycaemia may prevent these complications.
Cardiovascular risk
evaluation and primary
cardiovascular prevention
in diabetic patients
population that are independently and nonrandomly associated with the risk of developing
cardiovascular disease
Examples
circumference)
Diseases (e.g. arterial hypertension, diabetes)
Life style factors (e.g. smoking)
Genetic or environmental
The purpose of indentifying risk factors is to
Years
20-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
Points
-7
-3
0
3
6
8
10
12
14
16
15
SCORE diagram
Cardiovascular disease
characteristics in
diabetes
Introduction
2-3 fold increase in diabetic patients
Cerebrovascular
disease
Strokes
Thank you!