Home Cardiology Additional Attention to Modifiable Risks in DM Could Benefit Greatly

Additional Attention to Modifiable Risks in DM Could Benefit Greatly

Risk factors account for considerable proportion of CV events, death in those with, without CVD

WEDNESDAY, April 8, 2015 (HealthDay News) — For adults with diabetes, inadequately controlled risk factors account for a considerable proportion of cardiovascular events and death, according to a study published online in Diabetes Care.

Gabriela Vazquez-Benitez, Ph.D., from the HealthPartners Institute for Education and Research in Minneapolis, Minn., and colleagues examined the incidence of major cardiovascular hospitalization events and all-cause death among 859,617 adults with diabetes and with or without cardiovascular disease (CVD; 31 percent had CVD). The authors assessed the correlation between inadequately controlled risk factors (glycated hemoglobin, high low-density lipoprotein cholesterol, high blood pressure, current smoking) and the incidence of major cardiovascular events.

The researchers found that per 100 person-years, event rates for adults with diabetes with CVD versus without CVD were 6.0 versus 1.7 for myocardial infarction/acute coronary syndrome, 5.3 versus 1.5 for stroke, 8.4 versus 1.2 for heart failure, 18.1 versus 4.0 for all cardiovascular events, and 23.5 versus 5.0 for all-cause mortality. Inadequate risk factor control was associated with 11 and 3 percent of cardiovascular events and deaths, respectively, among those with CVD, and with 34 and 7 percent, respectively, among those without CVD.

“Additional attention to traditional cardiovascular risk factors could yield further substantive reductions in cardiovascular events and mortality in adults with diabetes,” the authors write.

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