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Lower extremity artery disease in patients with type 2 diabetes

机译:2型糖尿病患者的下肢动脉疾病

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摘要

Among all peripheral arterial diseases, lower extremity arterial disease is a serious condition in subjects with type 2 diabetes mellitus, associated with important disability, cardiovascular risk, and socio-economic burden. Patients with both conditions generally display poorer prognosis of affected limbs compared with non-diabetic subjects, leading to increased rates of adverse limb events including amputations. Nonetheless, awareness on lower extremity arterial disease remains somehow suboptimal in the diabetic population, partly related to an atypical clinical presentation in several cases. A regular and appropriate screening for lower extremity arterial disease in patients suffering from type 2 diabetes mellitus is therefore recommended. Affected subjects should receive optimal medical treatment including careful management of the different cardiovascular risk factors through a healthy lifestyle, a regular and structured physical activity, the administration of lipid-lowering, antidiabetic drugs, and (when indicated) antihypertensive and antithrombotic drugs. This review aims to outline current evidence about lower extremity arterial disease in patients with type 2 diabetes mellitus, in order to elucidate its epidemiology, pathophysiology, screening and diagnosis, and management options.
机译:在所有周围动脉疾病中,下肢动脉疾病是2型糖尿病的受试者的严重病症,与重要的残疾,心血管风险和社会经济负担相关。与非糖尿病受试者相比,患有患者的患者通常会显示受影响的四肢的预后,导致包括截肢等不利肢体事件的提高率。尽管如此,对下肢动脉疾病的意识仍然存在于糖尿病群中的次优,部分涉及几种情况下的非典型临床介绍。因此,建议使用患有2型糖尿病患者的患者的常规和适当的筛查。受影响的受试者应获得最佳的医疗,包括通过健康的生活方式,定期和结构化的身体活动,脂降低,抗糖尿病药物和(当指出)的抗高血压和抗血栓药物的施用不同心血管危险因素的仔细管理。该审查旨在概述当前关于2型糖尿病患者的下肢动脉疾病的现有证据,以阐明其流行病学,病理生理学,筛查和诊断和管理方案。

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