The Relationship Between Coronary Artery Disease and Undiagnosed Glucose Metabolism Disorders in Patients who Have Undergone Angiography

Turkish Journal of Endocrinology and Metabolism

卷:17

Tuncer Çaycı¹  Serkan Tapan¹  Cem Barçın²  Ersoy Işık²  Hürkan Kürşatlıoğlu²  Aydoğan Aydoğdu³  Türker Türker⁴  Yusuf Çetin Doğaner⁵  Halil Akbulut⁵  Ümit Aydoğan⁵  Kenan Sağlam⁵ 

[1] Gülhane Military Medical Academy, Department of Biochemistry, Ankara, Turkey;

[2] Gülhane Military Medical Academy, Department of Cardiology, Ankara, Turkey;

[3] Gülhane Military Medical Academy, Department of Endocrinology and Metabolic Disorders, Ankara, Turkey;

[4] Gülhane Military Medical Academy, Department of Epidemiology, Ankara, Turkey;

[5] Gülhane Military Medical Academy, Department of Family Medicine, Ankara, Turkey;

关键词: Diabetes mellitus;    coronary artery disease;    oral glucose tolerance test;   

DOI  :  10.4274/Tjem.2366

来源: DOAJ

【 摘 要 】

Purpose: Diabetes mellitus (DM) and coronary artery disease (CAD), seen frequently in the general population, are major causes of morbidity and mortality. DM, controllable through treatment, is one of the most important risk factors for the development of cardiovascular diseases.Material and Method: Our study included patients who had undiagnosed glucose metabolism disorders and had undergone an angiography under elective conditions. To diagnose the glucose metabolism disorders, these patients were given the oral glucose tolerance test (OGTT) (75 g) within 5-10 days after angiography.Results: In our study, 24.5% (n=79) of patients had isolated impaired fasting glucose, 9.3% (n=30) had isolated impaired glucose tolerance, 21.1% (n=68) had both impaired fasting glucose and impaired glucose tolerance, and 5% (n=16) had DM. None of these patients knew about their condition beforehand. Only 40.1% (n=129) of patients had normal OGTT results.Discussion: If patients with suspected CAD found to have blocked arteries after an angiography are screened for DM, glucose metabolism disorders can be diagnosed early. When caught early, the long-term complications can be avoided, resulting in significant savings for health care costs. Turk Jem 2013; 17: 111-5

【 授权许可】

Unknown