Primary Prevention of Cardiovascular Disease in Diabetes Mellitus

被引:136
作者
Newman, Jonathan D. [1 ,2 ]
Schwartzbard, Arthur Z. [1 ,2 ]
Weintraub, Howard S. [1 ,2 ]
Goldberg, Ira J. [3 ]
Berger, Jeffrey S. [1 ,2 ]
机构
[1] NYU Med Ctr, Div Cardiol, New York, NY 10016 USA
[2] NYU Med Ctr, Ctr Prevent Cardiovasc Dis, Dept Med, New York, NY 10016 USA
[3] NYU Med Ctr, Div Endocrinol, New York, NY 10016 USA
关键词
cardiovascular disease; primary prevention; type; 2; diabetes; AMERICAN-HEART-ASSOCIATION; BLOOD-PRESSURE CONTROL; LIFE-STYLE INTERVENTION; SCIENTIFIC STATEMENT; MULTIFACTORIAL INTERVENTION; RISK-FACTORS; MICROVASCULAR COMPLICATIONS; POSITION STATEMENT; CONTROLLED-TRIAL; GLUCOSE CONTROL;
D O I
10.1016/j.jacc.2017.07.001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Type 2 diabetes mellitus (T2D) is a major risk factor for cardiovascular disease (CVD), the most common cause of death in T2D. Yet, <50% of U.S. adults with T2D meet recommended guidelines for CVD prevention. The burden of T2D is increasing: by 2050, approximately 1 in 3 U.S. individuals may have T2D, and patients with T2D will comprise an increasingly large proportion of the CVD population. The authors believe it is imperative that we expand the use of therapies proven to reduce CVD risk in patients with T2D. The authors summarize evidence and guidelines for lifestyle ( exercise, nutrition, and weight management) and CVD risk factor ( blood pressure, cholesterol and blood lipids, glycemic control, and the use of aspirin) management for the prevention of CVD among patients with T2D. The authors believe appropriate lifestyle and CVD risk factor management has the potential to significantly reduce the burden of CVD among patients with T2D. (C) 2017 by the American College of Cardiology Foundation.
引用
收藏
页码:883 / 893
页数:11
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