Relationship between Coronary Artery Disease and Retinopathy in Patients with Type 2 Diabetes Mellitus
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概要
- 論文の詳細を見る
Objective To examine risk factors for coronary artery disease (CAD) and retinopathy in patients with type 2 diabetes mellitus (DM) and assess the relationship between CAD and retinopathy. Methods A total of 1,003 outpatients with type 2 DM (578 men and 425 women) were classified into two groups according to the presence (based on ischemic findings on a resting electrocardiogram or a history of angina or myocardial infarction) or absence of CAD and four retinopathy stages based on the International Clinical Classification of Diabetic Retinopathy. Results Stepwise multiple regression analyses showed that independent risk factors for CAD were age, the triglyceride (TG) level and smoking, while those for retinopathy included age, age of DM diagnosis, the HbA1c level and a female gender. The prevalence of CAD increased in association with the progression of retinopathy (p<0.01). Conclusion Since it is difficult to distinguish macrovascular and microvascular diseases, diabetic vascular disorders require comprehensive approaches to assessment and treatment.
著者
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Terauchi Yasuo
Department Of Endocrinology And Metabolism Graduate School Of Medicine Yokohama City University
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Kondo Yoshinobu
Department Of Public Health-health Information Dynamics Nagoya University Graduate School Of Medicin
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SATOH SHINOBU
Department of Endocrinology and Metabolism, Yokohama City University Graduate School of Medicine
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Tamura Yasushi
Department Of Endocrinology And Metabolism Tokyo Metropolitan Tama Geriatric Hospital
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Kato Satoshi
Department Of Cardiology Komatsushima Red Cross Hospital
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Hasegawa Osamu
Department Of Aquatic Bioscience Graduate School Of Agricultural And Life Sciences
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Misawa Haruo
Department of Endocrinology and Metabolism, Shonan Fujisawa Tokushukai Hospital, Japan
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Kawasaki Satsuki
Department of Endocrinology and Metabolism, Shonan Fujisawa Tokushukai Hospital, Japan
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Kondo Yoshinobu
Department of Endocrinology and Metabolism, Chigasaki Municipal Hospital, Japan
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Satoh Shinobu
Department of Endocrinology and Metabolism, Chigasaki Municipal Hospital, Japan
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Terauchi Yasuo
Department of Endocrinology and Metabolism, Yokohama City University Graduate School of Medicine, Japan
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