糖尿病与冠心病——同源病,等危症?

Diabetes and coronary artery disease: homogenous, or equivalent

糖尿病患者发生心血管事件与无糖尿病的冠心病患者相同,故将糖尿病由冠心病的危险因子提升为冠心病的等危症。“欧洲心脏调查”及“中国心脏调查”发现冠心病患者多数有高血糖状态,远高于普通人群。本文就对糖尿病与冠心病,两者孰因孰果?互为等危?及同源、可同治、同防等问题进行了探讨。

The outcomes of cardiovascular events in diabetics are equal to those found in patients with coronary artery diseases （CAD） not associated with diabetes （DM）. DM is hence upgraded from ＂risk factor＂ to ＂equivalent＂ of CAD. Recently, hyperglycemia has been found in the majority of CAD patients （＂Euro Heart Survey＂ and ＂China Heart Survey＂ ） ,the prevalence is far more higher than that in general population. Questions have been raised, regarding DM and CAD, which one is the cause or the result of the other？ or both are mutually equivalent？ or homogenous？ and finally, what are the common points in treatment and prevention？