References

diaendo

Сахарный диабет

Diabetes mellitus

2072-03512072-0378

Endocrinology research centre

10.14341/2072-0351-5979

diaendo-5979

Research Article

Статьи

Articles

Распространенность сочетанного атеросклеротического поражения сосудов у больных сахарным диабетом

Prevalence of combined atherosclerotic vascular lesions in patients with diabetes mellitus

Грачева

Светлана Александровна

Gracheva

Svetlana Alexandrovna

sgracheva@mail.ru

Клефортова

Инна Игоревна

Klefortova

Inna Igorevna

Шамхалова

Минара Шамхаловна

Shamkhalova

Minara Shamkhalovna

ФГБУ Эндокринологический научный центр, МоскваEndocrinology Research Centre, Moscow

2012

15032012

151

№1 (2012)

4955

2012

Грачева С.А., Клефортова И.И., Шамхалова М.Ш.

Gracheva S.A., Klefortova I.I., Shamkhalova M.S.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.dia-endojournals.ru/jour/article/view/5979

В течение последних десятилетий, когда опасность острых осложнений сахарного диабета (СД) преодолена, основнойпричиной смерти пациентов стали поздние сердечно-сосудистые осложнения. Клиническая манифестация атеросклерозакоронарных артерий, сосудов нижних конечностей, брахиоцефальных и почечных артерий ярко проявляется при СД, ко-торый определяет распространенность и выраженность поражений. Особая проблема для больных СД - их сочетаниевзаимно отягощающего характера. Наличие 2 и более факторов риска, один из которых уже диабет, требует активногопоиска поражений коронарных, брахиоцефальных, периферических и почечных артерий, агрессивного воздействия на ме-ханизмы прогрессирования процесса и подбора адекватной консервативной и эндоваскулярной терапии с учетом высокогориска сочетанного поражения.

During latest decade, as threat of acute complications of diabetes mellitus was surmounted, cardiovascular complications became leadingcause of death. Clinical manifestation of coronary, brachiocephalic and renal atherosclerosis is quite dramatic in diabetes mellitus,which determines extent of dissemination and intensity of lesions. Combination of these mutually confounding conditions is a characteristicproblem of patients with diabetes mellitus. Presence of 2+ risk factors (one of which is diabetes mellitus in itself) requiresactive examination in order to rule out coronary, brachiocephalic, peripheral and renal artery lesions. Aggressive care is necessaryin order to control progression of disease and administer adequate conservative and endovascular treatment with account of high riskof combination of lesions.

сахарный диабетатеросклерозсердечно-сосудистые осложнения

diabetes mellitusatherosclerosiscardiovascular complications

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The authors declare that there are no conflicts of interest present.