Management of cardiovascular risk factors in type 2 diabetic patients undergoing coronary angiography

Lexin Wang, Jingtian Li, Shukai Song, Rongguo Yao, Guoqin Feng
2003 Croatian Medical Journal  
To investigate risk factor management in diabetic patients undergoing coronary angiography. Hemoglobin (Hgb) A1c, low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), triglycerides (TG), blood pressure (BP), and body mass index (BMI) were cardiovascular risk factors analyzed in 284 consecutive type 2 diabetic patients who underwent coronary angiography. Coronary artery disease (CAD) was identified in 233 (82.0%) diabetic patients. The mean HgbA1c fraction
more » ... n HgbA1c fraction for all patients at hospital admission was 9.7+/-1.4%. The mean concentration of LDL-C, HDL-C, and triglycerides was 2.82+/-0.9, 0.92+/-0.28, and 2.56+/-0.81 mmol/L, respectively. One hundred and twenty-two (43.0%) patients had LDL-C <2.6 mmol/L, 70 (24.7%) patients had a blood pressure of less than 130/85 mm Hg, and 158 (55.7%) had BMI <30 kg/m(2). Only 26 (9.1%) patients had optimal control of the above cardiac risk factors. The average LDL-C, triglycerides, and blood pressure in patients with severe coronary artery disease were higher than those in patients with moderate to mild coronary artery disease (p<0.01; unpaired t-test). Cardiovascular risk factors were poorly controlled in type 2 diabetic patients. The average LDL-C, triglycerides, and blood pressure in patients with severe coronary artery disease were higher than those in patients with moderate to mild coronary artery disease.
pmid:14652884 fatcat:iqpwuywavzgptdzt3tloi2muum