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KHK-Diagnostik bei Diabetes mellitus

Diagnosis of coronary heart disease in diabetes mellitus patients

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Zusammenfassung

Der Diabetes mellitus ist ein unabhängiger Risikofaktor für die Entwicklung von kardiovaskulären Erkrankungen, und bei Diabetikern ist die koronare Herzkrankheit der Hauptgrund für Morbidität und Mortalität. Im vorliegenden Artikel gehen wir einleitend auf die Epidemiologie der koronaren Herzkrankheit beim Diabetes mellitus ein und erläutern insbesondere die Indikationen zur kardialen Diagnostik sowie die entsprechende Wahl des diagnostischen Verfahrens. Ziel ist es, eine frühzeitige Diagnosestellung der KHK zu erlangen, um dann durch aggressive Behandlung den Krankheitsverlauf erfolgreich zu beeinflussen.

Abstract

Diabetes mellitus is an independent risk factor in the development of cardiovascular disease and coronary heart disease is the major determinant of morbidity and mortality in diabetic patients. Early diagnosis of coronary heart disease is therefore a major task in diabetic subjects to allow aggressive treatment to inhibit disease progression. This review gives an introduction to epidemiological aspects of coronary heart disease in diabetes mellitus patients and focuses on the clinical indications for intensive cardiac evaluation in such patients; the specific roles of the different diagnostic tools available are also discussed.

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Authors and Affiliations

  1. Universitätsklinikum Ulm

    D. Walcher & M. Hetzel

  2. Universitätsklinikum Ulm, Robert-Koch-Straße 8, 89081 , Ulm

    D. Walcher

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  1. D. Walcher
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  2. M. Hetzel
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Correspondence to D. Walcher.

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Walcher, D., Hetzel, M. KHK-Diagnostik bei Diabetes mellitus. Diabetologe 1, 91–97 (2005). https://doi.org/10.1007/s11428-005-0012-8

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  • DOI: https://doi.org/10.1007/s11428-005-0012-8

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