diabetes and coronary heart disease a risk factor for the global epidemic糖尿病和冠心病的一个危险因素,全球流行病.pdfVIP

Hindawi Publishing Corporation International Journal of Hypertension Volume 2012, Article ID 697240, 7 pages doi:10.1155/2012/697240 Review Article Diabetes and Coronary Heart Disease: A Risk Factor for the Global Epidemic Maguy Chiha,1 Mario Njeim,2 and Edgar G. Chedrawy3 1 Division of Endocrinology, Department of Medicine, Loyola University Medical Center, 2160 South First Avenue, Fahey Bldg, Maywood, IL 60153, USA 2 Division of Cardiovascular Medicine, Department of Medicine, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202, USA 3 Cardiovascular and Thoracic Surgery, University of Illinois at Chicago and Vanguard Weiss Memorial Hospital, 4646 North Marine Drive, Chicago, IL 60640, USA Correspondence should be addressed to Edgar G. Chedrawy, echedraw@ Received 22 June 2012; Accepted 8 September 2012 Academic Editor: Eoin O’Brien Copyright © 2012 Maguy Chiha et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Cardiovascular disease remains a leading cause of death in the United States and the world. In this we will paper focus on type 2 diabetes mellitus as a risk factor for coronary heart disease, review the mechanisms of atherogenesis in diabetics, the impact of hypertension and the treatment goals in diabetics, the guidelines for screening, and review the epidemiologic consequences of diabetes and heart disease on a global scale. The underlying premise to consider diabetes a cardiovascular disease equivalent will be explored as well as the recommendations for screening and cardiac testing for asymptomatic diabetic patients. 1. Introduction