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Chapter-123 CAD Preventive Strategies in Diabetes Mellitus

BOOK TITLE: CSI: Cardiology Update 2014

Author
1. Kumar Sanjeev
2. Kumar Pramod
3. Sinha Ajay Kumar
4. Singh Vikas
5. Gopal Anand
ISBN
9789351526186
DOI
10.5005/jp/books/12415_124
Edition
1/e
Publishing Year
2015
Pages
6
Author Affiliations
2. Teerthanker Mahaveer University, Moradabad, Uttar Pradesh, India, pkumar_pain@rediffmail.com, Jaiprabha Medanta Superspeciality Hospital, Patna, Bihar, India, Faridabad, Haryana, India; All India Institute of Medical Sciences, New Delhi, India
3. Paras HMRI Hospital; Patna, Bihar, India, Suraksha Cardiac Care, PARAS-HMRI Hospital, Bailey Road, Patna, Bihar, India, Indian Heart Journal; Rheumatic Heart Disease Council, Cardiological Society of India, Paras HMRI Hospital, Patna, Bihar, India, Suraksha Cardiac Care, PARAS-HMRI Hospital, Patna, Bihar, India, Paras HMRI Hospital, Patna, Bihar, India
4. Paras HMRI Hospital, Patna, Bihar, India, Paras-HMRI Hospital, Patna, Bihar, India, Heart Hospital, Patna, Bihar, India, Daksh Heart Care and 4A Heart Hospital, Patna, Bihar, India, Daksh Heart Care, Patna; Nalanda Medical College and Hospital, Patna, Bihar, India, Daksh Heart Care, Patna, Bihar, India
5. Paras-HMRI Hospital, Patna, Bihar, India, Paras HMRI Hospital, Patna, Bihar, India
Chapter keywords
myocardial infarction, glycemic control, Veterans Affairs Diabetes Trial, peripheral artery disease, CHD, lifestyle modification, ASPIRIN, Hypertension Optimal Treatment

Abstract

This chapter discuss about the CAD Preventive Strategies in Diabetes Mellitus. With the diabetes there are higher risks of developing coronary disease than people without diabetes. Cardiovascular risk can by reduce by optimal glycemic control, blood pressure control, and cholesterol management, smoking cessation, lifestyle modification and using drugs. Many studies like ACCORD, ADVANCE, VADT etc. believed that the optimal glycemic level can be helpful to control the CAD. BP has been identified as a risk factor for CHD, heart failure, cerebrovascular disease, renal failure etc., and is most important preventable contributors to disease. CHOLESTEROL management, SMOKING cessation, LIFESTYLE MODIFICATION have sustained effect on reducing incidence of diabetes, and helps to reduce the occurrence and mortality of CVDs. Drugs like aspirin In Hypertension Optimal Treatment, reduced the risk of major cardiovascular events in patients with diabetes. CAD prevention requires a multifactorial approach and modifications in daily routine.

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