心脏糖尿病学的出现

P. Rosenblit, N. Lepor, N. Wong
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引用次数: 2

摘要

动脉粥样硬化性心血管疾病(ASCVD)及其并发症[即心脏病发作、中风、外周动脉疾病、慢性肾脏疾病(CKD)和心力衰竭(HF)]是2型糖尿病(T2DM)患者发病和死亡的主要原因1。心脏糖尿病学侧重于科学和临床管理策略,旨在降低糖尿病患者的相关风险和治疗心血管后果。心脏糖尿病学强调临床内分泌-糖尿病专家和心脏病专家之间的密切合作,而且包括多学科糖尿病治疗专家,包括肾病学家,运动生理学家,营养专家,足科医生,心胸和其他血管外科医生,初级保健医生,以及参与研究糖尿病和ASCVD之间联系的科学家。在这篇非常简短的评论中,我们建议一个互动的心脏糖尿病学合作,关注科学发现和临床管理策略,最终可以降低风险,在初级预防或延迟慢性并发症,或最佳地治疗ASCVD后果,最终改善患者的预后,生活质量,并延长糖尿病患者的寿命。
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The emergence of cardiodiabetology
Atherosclerotic cardiovascular disease (ASCVD) and its complications [i.e. heart attacks, strokes, peripheral arterial disease, chronic kidney disease (CKD), and heart failure (HF)] are the key causes of morbidity and mortality in patients with type 2 diabetes mellitus (T2DM) 1. Cardiodiabetology focuses on both the science and the clinical management strategies aimed to reduce the associated risks and treat the cardiovascular consequences in patients with diabetes. Cardiodiabetology emphasizes a close collaboration between not only the clinical endocrinologist-diabetologist and cardiologist, but encompasses multidisciplinary diabetes treatment experts, including nephrologists, exercise physiologists, nutrition experts, podiatrists, cardio-thoracic and other vascular surgeons, primary care physicians, as well as the scientists involved in studying the connection between diabetes and ASCVD. In this very brief commentary, it is suggested that an interactive cardiodiabetology collaboration, focusing on both scientific discoveries and clinical management strategies, can ultimately reduce risks, in the primary prevention, or delay, of chronic complications, or optimally treat the ASCVD consequences, to, ultimately, improve patient outcomes, quality of life, and longevity in persons with diabetes.
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