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Cardiovascular pathology in patients with diabetic foot syndrome

https://doi.org/10.18705/1607-419X-2006-12-2-161-164

Abstract

The aim of present study was to investigate the prevalence of cardiovascular disease (CVD) in out-patient cohort of patients with diabetic foot ulcers (DF). 356 patients with foot ulcers were studied. Mean age 56,9± 11,9 yrs., duration of DM 18,7±9,4 yrs., BMI 26,4±4,9 kg/m2. Type 2 DM: 63,4%. Mean HbAcl: 9,56 ± 1,59%. Prevalence of myocardial infarction and stroke were studied according to medical records and EC G data. Hypertension was diagnosed at the visit. Prevalence of CVD was 79,2%. Hypertension was the most prominent pathology (74;7%). Mean levels for systolic BP was 155,8±29,2 mm Hg, and for diastolic one - 87,3±12,2 mm Hg. Diabetic nephropathy was diagnosed in 87,8% hypertensive patients. Ischemic heart disease was diagnosed in 26,5% patients. Prevalence of myocardial infarction and stroke was 9,5% and 8,5% respectively. Whereas patients with CVD were characterized with old age and overweight, the duration of diabetes mellitus and HbAlc level did not differ from patients without CVD. We conclude that hypertension is the most frequent pathology observed in patients with DF. The diabetic nephropathy contributes significantly to this hypertension. CVD are associated with old age but not with duration of DM and HbAlc level.

About the Author

V. B. Bregovskiy
Saint-Petersburg Municipal Diabetes Centre
Russian Federation


References

1. Международное соглашение по диабетической стопе. Международная рабочая группа по диабетической стопе. М.: Сервье. 2000.

2. Дедов И.И., Галстян Г.Р., Токмакова А.Ю. и соавт. Синдром диабетической стопы. 2003. Москва. «Медицина для Вас».

3. Apelqvist J., Agardh С. The association between clinical risk factors and outcome of diabetic foot ulcers. Diab Res Clin Pract 1992;18:43-53.

4. Apelqvist J., Larsson J., Agardh C. Medical risk factors in diabetic patients with foot ulcers and severe peripheral vascular disease and their influence on outcome.] Diab Compl 1992,6:167-174.

5. Tentolouris N., Stylianou A., Georga A., et al. Co-morbid conditions in patients with diabetic foot ulcers: do they explain the high mortality rates in the patients with foot ulcers? Abstracts of V Meeting of the Diabetic Foot Study Group of the EASD 2005. Chalkidiki:123.

6. Дедов И.И., Анциферов М.Б., Галстян Г.Р., Токмакова А.Ю. Синдром диабетической стопы. 1998. Москва:35.

7. Larsson J., Agardh C., Apelqvist J., et al. Clinical characteristics in relation to final amputation level in diabetic patients with foot ulcers : a prospective study of healing below or above the ankle in 187 patients. Foot Ankle 1995;16:69-74.

8. Ramachandran A., Snehalatha C., Satyavani K. et al. Prevalence of vascular complications and their risk factors in type 2 diabetes. J Assoc Phys India 1999; 47 1112-1156.

9. Horta C., Vilaverde J., Mendes P. Et al. Evaluation of diabetic amputation rate. Acta Med Port 2003; 16:373-380.

10. Faglia E., Favales F., Morabito A. New ulceration, new major amputation and survival rates in diabetic subjects hospitalized for foot ulceration from 1990 to 1993. A 6,5-year follow-up. Diabetes Care 2001; 24: 78-83.

11. Eneroth M., Apelqvist J., Stenstrom A. Clinical characteristics and outcome in 223 diabetic patients with deep foot infections. Foot Ankle Int 1997; 18:716-722.


Review

For citations:


Bregovskiy V.B. Cardiovascular pathology in patients with diabetic foot syndrome. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2006;12(2):161-164. (In Russ.) https://doi.org/10.18705/1607-419X-2006-12-2-161-164

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ISSN 1607-419X (Print)
ISSN 2411-8524 (Online)