Coronary heart disease and cardiovascular autonomic neuropathy in the elderly diabetic
| Autor: | X. Chanudet, L. Bonnevie, Bernard Bauduceau |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
Heart Diseases Endocrinology Diabetes and Metabolism Myocardial Ischemia Angina Pectoris Angina Electrocardiography Endocrinology Diabetic Neuropathies Quality of life Diabetes mellitus Myocardial Revascularization Internal Medicine medicine Humans Frail elderly Angina Unstable Intensive care medicine Aged medicine.diagnostic_test business.industry General Medicine medicine.disease Coronary heart disease Surgery Autonomic Nervous System Diseases Diabetes Mellitus Type 2 Cardiovascular Diseases business Complication Autonomic neuropathy Diabetic Angiopathies |
| Zdroj: | Diabetes & Metabolism. 33:S19-S31 |
| ISSN: | 1262-3636 |
| DOI: | 10.1016/s1262-3636(07)80054-1 |
| Popis: | Diabetes and old age come together to increase the frequency and severity of coronary heart disease. Often clinically nearly silent, symptoms frequently manifest dramatically, to such an extent that the question of screening should be raised, as in younger subjects. Preventing these manifestations relies on better management of the cardiovascular risk factors and obtaining good blood glucose control, but here progress remains necessary, which also requires adapting to the older patient's clinical and psychological condition. Cardiovascular autonomic neuropathy is a frequent degenerative complication in diabetics, particularly in the oldest subjects. The most severe types have serious clinical consequences, thus a higher mortality factor, but the mechanisms remain poorly understood. As for coronary heart disease, the therapeutic tools have expanded these last few years and should be thought out in relation to the geriatric evaluation, with the objective of improving these patients' quality of life. Therefore, a necessary distinction should be made between subjects who have aged successfully, whose management, ultimately, differs little from younger subjects, and frail elderly individuals for whom exploratory techniques and treatment should be adapted. |
| Databáze: | OpenAIRE |
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