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糖尿病性心肌病是糖尿病并发微血管病变所致的心脏损害。作为糖尿病独立的并发症已被专家肯定,其理由为,①临床流行病学证实:根据Framingham研究发现,糖尿病患者心衰发生率比按冠心病、高心病计算预测率高,表明另有致心力衰竭的其它因素存在;②冠脉造影证实:糖尿病合并心衰患者冠脉造影的一部分人完全正常,且这部分人常伴有微血管病变,如视网膜微血管病变、肾脏微血管病、持续性蛋白尿等;③治疗学方面的证据:糖尿病合并心梗患者,尽管与其它心梗一样,积极地恢复期治疗,但心力衰竭的发生率明显高于无糖尿病的心梗者,提示另有因素促使心力衰竭的发生;④病理检查表明:糖尿病性心肌病与原发性心肌病有各自不同的病理学
Diabetic cardiomyopathy is a cardiac disorder caused by diabetic microvascular disease. The independent complication of diabetes has been affirmed by experts for the following reasons: ① clinical epidemiology confirmed: According to Framingham study found that the incidence of heart failure in diabetic patients than coronary heart disease, high heart disease prediction rate is high, indicating that otherwise cause heart failure Of other factors exist; ② coronary angiography confirmed: diabetes with heart failure in patients with coronary angiography in some people are completely normal, and this part of people often accompanied by microvascular disease, such as retinal microangiopathy, renal microvascular disease, persistent proteinuria; ③ therapeutic evidence: patients with diabetes mellitus, despite the same as other myocardial infarction, positive recovery period of treatment, but the incidence of heart failure was significantly higher than non-diabetic patients with myocardial infarction, suggesting that other factors to promote heart failure Occurred; ④ pathological examination showed that: diabetic cardiomyopathy and primary cardiomyopathy have their own different pathologies