Why diabetes patients with coronary heart disease?

Since the body resistance is weak sugar friends, there is an indisputable fact that all kinds of diabetic complications are trying to attack


Since the body resistance is weak sugar friends, there is an indisputable fact that all kinds of diabetic complications are trying to attack us all the time. Even if we have no way to prevent the metabolic disorder of our body, we still need to understand the cause of the disease, pay attention to the common sense of diabetes

Diabetes common sense: the high incidence of sugar friends, in the incidence of 26%-35% when we see a surprise. Survey shows that the prevalence of coronary heart disease in patients with diabetes is 3 times that of non diabetes. From the pathological changes, pathological changes in diabetic patients with coronary heart disease and non coronary heart disease patients with diabetes are basically the same, but the involvement of coronary artery lesion vessels, stenosis degree is also heavy, prone to myocardial infarction;

The clinical manifestations of diabetes mellitus complicated with coronary heart disease (CHD) are similar to those of patients with coronary heart disease (CHD)

Arrhythmia, but has the following characteristics: atypical clinical symptoms, diabetes and coronary heart disease incidence increased with age, duration, and severity of the relationship is not big, and decreased with the degree of diabetes control, painless myocardial infarction.

The birth rate increased, autonomic neuropathy may be caused by diabetes; incidence and mortality of myocardial infarction in patients with diabetes, myocardial infarction, cardiac arrest shock, heart failure and other complications were significantly higher than those without diabetes.

Myocardial infarction, which may be related to the autonomic nervous imbalance and the reduction of the stability of the heart.

Diabetic cardiomyopathy is a kind of heart disease caused by myocardial microvascular disease in diabetes mellitus. Due to the thickening of the myocardial microvascular wall and the stenosis of the lumen, myocardial ischemia, degeneration, necrosis and fibrosis may occur. Myocardial dysfunction, cardiac dysfunction. Can appear easily tired, fatigue, work tolerance, especially in female patients with hypertension and heart failure symptoms appeared earlier, may have mild heart enlargement, palpitation and shortness of breath, can have angina. Severe acute heart failure, shock, arrhythmia and even sudden death. Coronary heart disease is often not easy to identify.

Diabetes patients often have cardiac autonomic dysfunction, characterized by reduced heart rate variability, manifested as resting heart rate, little change in activity, also reduce the differences in heart rate during deep breathing, rapid heart rate rose to accelerate the reflex from lying, fast and fixed tachycardia is often the main manifestations of diabetic heart autonomic neuropathy.


About 40%-60% diabetic patients have reduced heart rate variability. Diabetic patients died of acute myocardial infarction, cardiac autonomic nerve fibers can be found at autopsy number decreased, and often with a segmented fusiform or bead like thickening change,

Sudden onset of severe arrhythmia. Therefore, check the heart rate variability of the patients, pay attention to the common sense of diabetes, to judge the autonomic nervous function of the heart to help guide the treatment can prevent the occurrence of serious arrhythmia, also

It can be used as a reference index to judge the disease and prevent the occurrence of diabetic complications.



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