绪言肥胖症和糖尿病使人类心血管并发症增加已得到证实。许多人感觉心脏疾病在肥胖症和糖尿病病人中普遍增多可归因于高血糖、高血脂蛋白、高血压、肥胖和胰岛素分泌过多引起的动脉粥样硬化病变。然而更多的最新资料表明,可能有一种与冠状动脉疾病无关的糖尿病性心肌病变,这也许能够对糖尿病病人中发现的死亡率和发病率增高作某些解释。 Introduction Obesity and diabetes have led to an increase in cardiovascular complications in humans. Many people feel that the general increase in heart disease in obese and diabetic patients can be attributed to atherosclerotic lesions caused by hyperglycemia, hyperlipoproteins, hypertension, obesity and excessive insulin secretion. However, more recent data suggest that there may be a diabetic cardiomyopathy unrelated to coronary artery disease, which may provide some explanation for the increased mortality and morbidity found in diabetic patients.