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- Naito Ryo
- Heart Center, Juntendo University Urayasu Hospital
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- Miyauchi Katsumi
- Department of Cardiovascular Medicine, Juntendo University Graduate School of Medicine
書誌事項
- タイトル別名
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- Current Treatment Strategies and Future Perspective
この論文をさがす
抄録
<p>Type 2 diabetes mellitus (T2DM) is a major risk factor of coronary artery diseases (CAD). Clinical outcomes in CAD with T2DM are poor despite improvement in medications and intervention devices. Coronary artery bypass grafting (CABG) is superior to percutaneous coronary intervention (PCI) in treating diabetic patients with multivessel coronary artery diseases (MVD). However, selecting a revascularization strategy should depend not only on the lesion complexity but also on the patient’s background and comorbidities. In addition, comprehensive risk management with medical and non-pharmacological therapies is important, as is confirmation of whether risk managements are appropriately achieved. Recently, novel anti-diabetic drugs have been demonstrated to have effectiveness in reducing cardiovascular events, which was independent of their glucose-lowering effect. Furthermore, non-pharmacological interventions using exercise and diet during the earlier stages of abnormal glucose metabolism might be beneficial in preventing the development or progression of T2DM and reducing the incidence of cardiovascular events.</p>
収録刊行物
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- International Heart Journal
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International Heart Journal 58 (4), 475-480, 2017
一般社団法人 インターナショナル・ハート・ジャーナル刊行会