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[饮食养生] 糖尿病患者心衰风险这么高!留意6个早期信号

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发表于 2019-2-7 05:08:55 | 只看该作者 回帖奖励 |倒序浏览 |阅读模式
糖尿病与心衰虽并非一般的?#21916;?#30151;,而是相互促进和相互恶化的关系。

来自美国的Framingham心脏研究表明:罹患糖尿病能使?#34892;院?#22899;?#33489;?#29983;心力衰竭的风险分别增加2.4倍和5倍,而且这一增加与高血压或冠脉疾病无关。

发表于2015年的《糖代谢异常与动脉粥样硬化性心血管疾病临床诊断和治?#28006;?#21335;》中就?#24247;鰲?#24515;衰是降糖药物心血管安全性的重要考虑因素之一”。

糖尿病患者的心衰风险之所以这么高,首先是因为糖尿病患者更容易发生动脉粥样硬化,伴随?#33268;?#24615;的严重动脉血管狭窄,这将会直接导致心肌供血?#20064;?#32570;血性心肌病,最终诱发严重心衰;另外,即使糖尿病患者的冠脉病变轻微,长期高血糖也会带来自主神经病变、微循环功能?#20064;?#21450;代谢和能?#24247;?#25913;变。

应对糖尿病?#21916;?#24515;衰,首先就得在平时做好预防工作,积极改善生活习惯,降糖降脂,控制体重。

其次,也应该留意“隐藏”的心衰。?#28909;?#24403;糖尿病患者出现体力差、气短、夜间躺下睡觉经常被憋醒,以及手脚冰凉、全身性水肿、突发的神志淡漠或人格改变等,就要怀疑可能是心衰了,就应?#26412;?#26089;去医院检查确诊,?#28909;?#20570;胸片、超声心动?#32908;?#34880;?#38405;?#32032;水?#38477;取?br />
?#26434;?#37027;些已经存在冠脉狭窄的糖尿病患者,即使没有心绞痛的症状,也建议通过冠脉造影来尽早处理狭窄;如果糖尿病?#21916;?#24515;衰的患者病情稳定,还应通过冠脉造影来明确缺血性心肌病的存在与否。

虽然我们说心衰是心脏疾病的终末阶段,但并不意味着短时间内就会危及生命,如果能够早诊早治、选择合适的降糖药和抗心衰药,并且注重改善生活习惯,按时监测检查,一样能够延缓病情和提高生活质量。
安庆在线网社区,争做最受安庆人欢迎的交流?#25945;ǎ?/font>
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