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Zur Epidemiologie der diabetischen Angiopathie

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Diabetes und Angiopathie

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Zusammenfassung

Der Diabetes mellitus ist ein unabhängiger Risikofaktor einer Makroangiopathie. Inzidenzen und Prävalenzen einer koronaren Herzerkrankung, einer cerebrovaskulären Erkrankung sowie einer peripheren arteriellen Verschlußkrankheit liegen im Mittel 2- bis 4fach höher als bei Nichtdiabetikern. Folgeerkrankungen wie die diabetische Nephropathie führen zu einer ca. 8fachen Zunahme der Inzidenz einer KHE. Nach abgelaufenem Infarkt und zerebralem Insult sind insbesondere Frühmortalität und Rezidiv signifikant gesteigert. Die Abhängigkeit der Inzidenz der Makroangiopathie von verschiedenen Einflußgrößen wird diskutiert. Epidemiologische Studien zu ätiologischen Risikofaktoren einer diabetischen Makroangiopathie sind in letzter Zeit einer zunehmenden Kritik unterworfen. Insbesondere die ätiologische Rolle des Hyperinsulinismus bedarf einer Neubewertung.

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Authors
  1. H.-J. Lüddecke
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Editors and Affiliations

  1. Medizinische Klinik I, Universität Heidelberg, Bergheimer Straße 58, D-69115, Heidelberg, Deutschland

    C. Hasslacher

  2. Wissenschaftliches Referat Diagnostika, Boehringer Mannheim, Sandhofer Straße 116, D-68305, Mannheim, Deutschland

    Eberhard Spanuth

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© 1993 Springer-Verlag Berlin Heidelberg

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Lüddecke, HJ. (1993). Zur Epidemiologie der diabetischen Angiopathie. In: Hasslacher, C., Spanuth, E. (eds) Diabetes und Angiopathie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-47621-1_5

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  • DOI: https://doi.org/10.1007/978-3-642-47621-1_5

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-56721-9

  • Online ISBN: 978-3-642-47621-1

  • eBook Packages: Springer Book Archive

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