Impact of carotid atherosclerosis detection on physician and patient behavior in the management of type 2 diabetes mellitus: a prospective, observational, multicenter study

BMC Cardiovascular Disorders

Research Article

Dong Hyeok Cho¹  In-Kyung Jeong²  Doo-Man Kim³  Chul Sik Kim⁴  Won-Young Lee⁵  Sin-Gon Kim⁶  Chong Hwa Kim⁷  Kyu-Chang Won⁸ 

[1] Chonnam National University Hospital, Gwangju, South Korea;Department of Endocrinology and Metabolism, Kyung Hee University School of Medicine, Kyung Hee University Hospital at Gangdong, Seoul, South Korea;Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University Medical Center, Gil-Dong, Gangdong-Gu, Seoul, South Korea;Hallym University Sacred Heart Hospital, Gyeonggi-do, South Korea;Kangbuk Samsung Hospital, Seoul, South Korea;Korea University Anam Hospital, Seoul, South Korea;Sejong General Hospital, Gyeonggi-do, South Korea;Yeungnam University Medical Center, Daegu, South Korea;

关键词: Behavior;    Cardiovascular disease;    Carotid atherosclerosis;    Diabetes mellitus;    Type 2;   

DOI  :  10.1186/s12872-016-0401-5

 received in 2016-05-08, accepted in 2016-11-08,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundThis study compared carotid ultrasound (CUS) and traditional risk calculations in determining cardiovascular disease (CVD) risk in patients with type 2 diabetes mellitus (DM) and investigated whether awareness of CVD affects patient and/or physician behavior.MethodsIn this prospective, observational, multicenter study, 797 participants with type 2 diabetes were assessed using CUS, the United Kingdom Prospective Diabetes Study Risk Engine (UKPDSRE) calculator, and the Framingham Risk Score (FRS) algorithm. Health-related behaviors and physician treatments were compared at baseline and at 6 months after assessment.ResultsAccording to CUS, 43.5 % of the participants were at high risk (compared to 10.6 % and 4.3 % using the UKPDSRE and FRS approaches, respectively). Interestingly, 31.5 % of the patients with low risk scores according to the UKPDSRE calculator and 35.8 % of the patients with low risk scores according to the FRS algorithm were found to be at high risk according to CUS. The proportion of patients who achieved target LDL-C levels significantly increased after CUS. Moreover, increased awareness of atherosclerosis through CUS findings significantly altered physician treatment patterns and patient health-related behaviors.ConclusionsCarotid atherosclerosis was detected in more than 30 % of all participants with low or intermediate risk stratification scores. Improved awareness of atherosclerosis through CUS findings had a positive impact on both patient and physician behavior, resulting in improved CV risk management.

【 授权许可】

CC BY   
© The Author(s). 2016