Risk Factors for Coronary Heart Disease in Diabetes

Editorials18 July 2000Risk Factors for Coronary Heart Disease in DiabetesVivian Andrew Fonseca, MD, MRCPVivian Andrew Fonseca, MD, MRCPTulane University Medical Center; New Orleans, LA 70112 (Fonseca)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-133-2-200007180-00015 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Persons with diabetes are disproportionately affected by coronary heart disease. Furthermore, diabetic patients have not benefited from the advances in the management of coronary heart disease or its risk factors, which have decreased mortality from coronary heart disease in persons without diabetes (1). Some of the excess risk in persons with diabetes is related to an increased prevalence of established risk factors, such as obesity, dyslipidemia, and hypertension. Nevertheless, traditional risk factors do not fully explain the excess risk for coronary heart disease in these persons (2). Therefore, other, "nontraditional" risk factors may be important in diabetes.In this issue, ...References1. Gu K, Cowie CC, Harris MI. Diabetes and decline in heart disease mortality in US adults. JAMA. 1999;281:1291-7. CrossrefMedlineGoogle Scholar2. Stamler J, Vaccaro O, Neaton JD, Wentworth D. Diabetes, other risk factors, and 12-yr cardiovascular mortality for men screened in the Multiple Risk Factor Intervention Trial. Diabetes Care. 1993;16:434-44. CrossrefMedlineGoogle Scholar3. Saito I, Folsom AR, Brancati FL, Duncan BB, Chambless LE, McGovern PG. Nontraditional risk factors for coronary heart disease incidence among persons with diabetes: The Atherosclerosis Risk in Communities (ARIC) Study. Ann Intern Med. 2000;133:81-9. LinkGoogle Scholar4. Ceriello A. Fibrinogen and diabetes mellitus: is it time for intervention trials? Diabetologia. 1997;40:731-4. 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CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Tulane University Medical Center; New Orleans, LA 70112 (Fonseca)Corresponding Author: Vivian Andrew Fonseca, MD, MRCP, Section of Endocrinology, Tulane University Medical Center, 1430 Tulane Avenue (SL 53), New Orleans, LA 70112; e-mail, [email protected]tcs.tulane.edu. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoNontraditional Risk Factors for Coronary Heart Disease Incidence among Persons with Diabetes: The Atherosclerosis Risk in Communities (ARIC) Study Isao Saito , Aaron R. Folsom , Frederick L. Brancati , Bruce B. Duncan , Lloyd E. Chambless , and Paul G. 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Rathore, MPH, Paul Frame, MD, Steven H. Woolf, MD, MPH, and Kathleen N. Lohr, PhDDiabetes and other coronary heart disease risk equivalentsEmerging concepts in metabolic abnormalities associated with coronary artery diseaseSexual Dysfunction and Cardiovascular Risk – Links and Solutions 18 July 2000Volume 133, Issue 2Page: 154-156KeywordsAlbuminsCoronary heart diseaseFibrinogenInflammationInsulinInsulin resistanceLongitudinal studiesMedical risk factorsMicroalbuminuriaType 2 diabetes Issue Published: 18 July 2000 Copyright & PermissionsCopyright © 2000 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...