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近20年的流行病学调查显示,糖尿病患者的冠心病发病率是非糖尿病患者的2～3倍。糖尿病合并冠心病最常见的临床表现与单纯冠心病一样,以心绞痛和心律失常等为主,但糖尿病合并无症状性心肌缺血(SMI)及其危险性却尚未引起临床的广泛注意。有鉴于此,我们对36例糖尿病合并SMI患者进行了5年随访观察,对其临床特点进行分析。
Epidemiological survey of nearly 20 years showed that the incidence of coronary heart disease in diabetic patients is 2 to 3 times that of non-diabetic patients. Diabetes with coronary heart disease the most common clinical manifestations and simple coronary heart disease, angina pectoris and arrhythmia, etc., but diabetes mellitus with asymptomatic myocardial ischemia (SMI) and its risk has not yet caused widespread clinical attention. In view of this, we have 36 cases of diabetic patients with SMI were followed up for 5 years to analyze its clinical features.