0252: Control of cardiovascular risk factors in revascularized patients with diabetes: Algerian experience - 12/02/16
Résumé |
Introduction and objectives |
Patients with type 2 diabetes and revascularized coronary disease are a group with very high cardiovascular risk that has been rarely studied. This Algerian study analyzes the clinical characteristics and risk factor control of these patients.
Methods |
The analysis selected patients with type 2 diabetes who had participated in a multicenter, observational study (military hospitals of Algeria) conducted in 978 patients>18 years of age who had undergone coronary surgery or percutaneous coronary intervention. Demographic and therapeutic variables, as well as clinical and analytical parameters, were collected and comparatively analyzed.
Results |
The mean age (standard deviation) of the 371 diabetic patients included in the analysis was 67.7 (9.6) years (71.3% men; mean time since revascularization, 3.5 years). Most (57.6%) were receiving treatment with oral hypoglycemics alone, where as 30.4% were receiving insulin alone or in combination. The mean glycohemoglobin figure was 7.3% (in 72%, <7.5%); 73.9% had been diagnosed with dyslipidemia. Mean low-density lipoprotein cholesterol was 93.5mg/dL (in 73%,>70mg/dL). Among these patients, 93.5% were receiving statins. A total of 76.4% had been diagnosed with hypertension; systolic/diastolic blood pressure was <130/80mmHg in 56% and <140/90mmHg in 93%.
Conclusions |
Cardiovascular risk and prevention may be improved in revascularized diabetic patients in Spainthroughfurthercontrol of riskfactors, particularly dyslipidemia.
Patients with glycohemoglobin>7.5% should be individually assessed in terms of glycemic targets.
Le texte complet de cet article est disponible en PDF.Vol 8 - N° 1
P. 96 - janvier 2016 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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