CAJ | 학술논문

美国心脏联合会（AHA）1999年发表声明提出“糖尿病就是心血管病”的论点，引起了心血管和内分泌糖尿病领域学者们的高度关注。围绕糖尿病和心血管病的相关研究层出不穷，结论也莫衷一是。糖尿病患者是心血管病的高危人群，约有近2/3的糖尿病患者死于心血管病，糖尿病患者其心血管死亡是非糖尿病患者的2～3倍。有关糖尿病和冠心病的关系，有很多研究证据，也有很不相同的研究结果，本文综合具有代表性的临床试验研究，从高血糖与心血管事件、糖尿病是心血管病的等危症、糖尿病不是心血管病的等危症3个方面讨论糖尿病和心血管疾病的关系。
미국심장연합회（AHA）1999년발표성명제출“당뇨병취시심혈관병”적론점，인기료심혈관화내분비당뇨병영역학자문적고도관주。위요당뇨병화심혈관병적상관연구층출불궁，결론야막충일시。당뇨병환자시심혈관병적고위인군，약유근2/3적당뇨병환자사우심혈관병，당뇨병환자기심혈관사망시비당뇨병환자적2～3배。유관당뇨병화관심병적관계，유흔다연구증거，야유흔불상동적연구결과，본문종합구유대표성적림상시험연구，종고혈당여심혈관사건、당뇨병시심혈관병적등위증、당뇨병불시심혈관병적등위증3개방면토론당뇨병화심혈관질병적관계。
American Heart Association issued a statement in 1999 which put forward a point of view that“diabetes is a cardiovascular disease”, which made experts in cardiology and endocrinology pay more attention to the relationship between the two diseases. Then, studies on diabetes mellitus and cardiovascular diseases emerged one after another, but there was no consensus finally achieved in their conclusions. Diabetes is a cardiovascular risk factor. About 2/3 diabetic patients died of cardiovascular diseases, and the cardiovascular death of diabetic patients was 2-3 times higher than that of non-diabetic patients. About the relationship between diabetes and coronary heart diseases, there was a great deal of evidence, but the results of the studies were different. In this paper, we reviewed representative clinical trials, and discussed the relationship between diabetes and cardiovascular diseases in 3 aspects, that is, hyperglycemia and cardiovascular events, diabetes as cardiovascular risk equivalents, and diabetes is not a cardiovascular disease.