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Analysis of coronary artery and clinical feature in patients with coronary heart disease coexisting with non--insulin dependent diabetes mellitus
Authors:Dai Zhengxue . Jia Guoliang  Li Lansui )  Zhang Yushun
Abstract:
Objective: To study the coronary artery lesions and clinical features in patients with coronary heart disease (CHD ) coexisting with non-insulin dependent diabetes mellitus (NIDDM ). Methods: 850 cases CHD patients were divided into 2 groups: patients with NIDDM and patients without NIDDM, the coronary lesions were compared between 2 groups by coronary artery angiography (CAG ) and the clinical characteristics were also studied between 2 groups. Results: More patients with NIDDM had hypertension, stroke, hyperlipemia and family history of NIDDM or CHD. More patients with NIDDM had painless chest pain, and the mortality rate in NIDDM group was higher than that of control group. More patients with NIDDM suffered from middle to serve stenosis of coronary artery and triple CHD and low ejection fraction than without (P<0. 01 ). Conclusion: NIDDM is an independent risk factor for CHD and heart function and the early diagnosis of NIDDM is very important for the prognosis of CHD.
Keywords:coronary heart disease  AIDDM: coronary artery angiography
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