This article was originally published here
Med Clin (Barc). 2021, March 30: S0025-7753 (21) 00121-4. doi: 10.1016 / j.medcli.2020.12.040. Online before printing.
ABSTRACT
INTRODUCTION AND AIMS: Atherosclerotic cardiovascular disease and heart failure are the leading causes of morbidity and mortality in patients with diabetes. The aim of this work is to determine the prevalence of atherosclerotic cardiovascular diseases and heart failure in people who were diagnosed with diabetes in Spain in 2017 and to compare them by age and gender with those who were not diagnosed with diabetes .
METHODS: Data for the diagnosis of diabetes mellitus (DM), acute myocardial infarction (AMI), stroke, peripheral artery disease (PAD), or heart failure (HF) for 2017 were retrieved from the National Health System’s Primary Care Clinical Database (BDCAP).
RESULTS: When comparing people with diabetes and people without diabetes over 35 years of age, the odds ratio (OR) for diagnosing acute myocardial infarction, stroke, peripheral artery disease, or heart failure is about 2 in people over 64 years of age and over than 4 in patients under that age. This operation is superior in women to men in all diagnoses except for diseases of the peripheral arteries.
CONCLUSIONS: This study shows the high cardiovascular comorbidity of patients with diabetes in Spain with a higher excess risk in patients under 65 years of age, more pronounced in women. We should offer more intensive treatment for DM2 in women.
PMID: 33810870 | DOI: 10.1016 / j.medcli.2020.12.040