Recurrent acute coronary syndromes in a patient with diabetes mellitus – is the patient co-responsible for results of the treatment?

Małgorzata Zalewska; Grażyna Kobus; Katarzyna Łagoda; Hanna Bachórzewska-Gajewska; Sławomir Dobrzycki

eISSN: 2084-9877
ISSN: 1896-9666

Przegląd Kardiodiabetologiczny/Cardio-Diabetological Review

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3/2008
vol. 3

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abstract:

Recurrent acute coronary syndromes in a patient with diabetes mellitus – is the patient co-responsible for results of the treatment?

Małgorzata Zalewska

,

Grażyna Kobus

,

Katarzyna Łagoda

,

Hanna Bachórzewska-Gajewska

,

Sławomir Dobrzycki

Przegląd Kardiodiabetologiczny 2008; 3, 3: 243–248

Online publish date: 2008/10/20

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Diabetes mellitus is the one of the most important risk factors of coronary artery disease. Coronary artery disease and myocardial infarction are diagnosed 2 to 4 times more frequently in diabetic patients. However, good diabetes metabolic control, lipid metabolism and proper blood pressure play the most important roles in reduction of cardiovascular risk in these patients. We present a history of a 60-year-old patient with diabetes mellitus and recurrent acute coronary syndromes. The coronarography revealed insignificant atherosclerotic lesions in coronary vessels. However, we observed very unsatisfactory metabolic control of diabetes and too little engagement of the patient in the therapeutic process during a period of one year and a half of observation.

keywords:

Recurrent acute coronary syndromes in a patient with diabetes mellitus – is the patient co-responsible for results of the treatment?

Małgorzata Zalewska , Grażyna Kobus , Katarzyna Łagoda , Hanna Bachórzewska-Gajewska , Sławomir Dobrzycki

diabetes mellitus, acute coronary syndrome, metabolic control of diabetes

Małgorzata Zalewska

,

Grażyna Kobus

,

Katarzyna Łagoda

,

Hanna Bachórzewska-Gajewska

,

Sławomir Dobrzycki