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Preventing diabetes to prevent heart attack and angina

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Diabetes is a risk factor for the development of atherosclerotic plaques inside the vessels, since the complications of the metabolic pathology can lead not only to lesions affecting the large arteries, but also the smaller vessels. What is sometimes not remembered is the impact of this condition on the possible cardiovascular risk, in particular for heart attack and angina.

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To add a piece of knowledge a research, published on European Journal of Preventive Cardiology, which demonstrates the “weight” of this dangerous association. According to the analysis, coordinated by Emmanuelle Vidal-Petiot of the Bichat-Claude Bernard Hospital in Paris, even on a world scale just under one in three people who have a pathology affecting the coronary arteries would also suffer from diabetes, in the face of an effective prevalence of the metabolic pathology that is around the 9%. Here the situation certainly appears better than in areas such as those of the countries bordering the Persian Gulf, where even the association between the two pathological pictures reaches 60%. However, on a European scale, one in five people with significant coronary artery circulation problems also have diabetes. The data emerges from the analysis of the results of the Clarify registry, which includes just under 33,000 people with chronic coronary syndromes recruited in 45 countries in Europe, Asia, America, the Middle East, Australia and Africa. Monitoring, with annual checks, continued for five years.

Physical activity is associated with a better course in the event of a heart attack

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The first data that emerges from the survey is the weight of diabetes on the evolution of heart disease, given that the negative clinical outcomes recorded appeared more frequent among heart patients with diabetes than those without diabetes. After adjusting the data, also in consideration of the possible presence of other risk factors, such as overweight, hypertension, smoking, drug use and more, the researchers found that among patients with stable coronary artery disease, those with diabetes had a 38% higher death rate during five-year follow-up. They also had a 28% higher risk of a combined outcome of heart attack, stroke, or cardiovascular death. Heart patients with diabetes had worse outcomes than those without diabetes, regardless of geographic region and ethnicity. Under accusation, in terms of prevention, are above all unhealthy habits, first of all a sedentary lifestyle and unhealthy diet.

The ideal time for physical activity for people with diabetes and overweight

“Obesity and lack of exercise are common risk factors for both diabetes and heart disease, and our findings highlight the urgent need to improve nutrition and increase activity levels globally,” explains the author of the paper. research – the countries most affected by diabetes are also the epicenter of the obesity epidemic, which can be attributed in part to urbanization and associated changes in physical activity and food intake. ” Another fact of concern is that diabetes was associated with worse outcomes even in areas with the lowest prevalence. In Europe, for example, diabetes is associated with a 29% higher risk of a combined outcome of heart attack, stroke or cardiovascular death. “This indicates that the management of these high-risk patients with heart disease and diabetes should be improved – concludes the expert – each country must identify these patients and provide tailored educational and prevention programs”.

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Those with diabetes run to get the vaccine

by Agostino Consoli


Possible countermeasures? First of all, focus on an active lifestyle and a healthy diet, because the prevention and control of diabetes go through weight and physical activity monitoring. The early diagnosis of the alteration of the metabolism is also fundamental, in order to implement a series of targeted measures capable of improving the situation.

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