心脏病是糖尿病人的主要死因,有明显糖尿以 及无症状性高血糖病人,冠状动脉粥样硬化性病变的危险性都是增加的。最近Framingham从流行病学研究中确定,糖尿病人心绞痛与心肌梗塞发生率增高,尤其是妇女。同时还提示,充血性心力衰竭的发生频率大于曾予测有动脉粥样化危险因素者。作者说:有两种不同理论解释心血管病变危险性的增加;即动脉粥样硬化的存在或小血管病变。 Heart disease is the leading cause of death in people with diabetes. Patients with overt diabetes and asymptomatic hyperglycemia are at increased risk of coronary atherosclerotic lesions. Framingham recently identified from epidemiological studies, angina patients with diabetes and increased incidence of myocardial infarction, especially in women. At the same time also suggested that the incidence of congestive heart failure is greater than the risk of being atherosclerosis were measured. The authors say: There are two different theories that explain the increased risk of cardiovascular disease; the presence of atherosclerosis or small vessel lesions.