WEKO3
アイテム
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4)糖尿病と虚血性心疾患(シンポジウム 糖尿病研究の進歩と治療, 第498回新潟医学会)
http://hdl.handle.net/10191/40521
http://hdl.handle.net/10191/4052189f5ab2b-d4dc-416b-b99e-1cceffc2cc4c
名前 / ファイル | ライセンス | アクション |
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2016-03-29 | |||||
タイトル | ||||||
タイトル | 4)糖尿病と虚血性心疾患(シンポジウム 糖尿病研究の進歩と治療, 第498回新潟医学会) | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | 4)糖尿病と虚血性心疾患(シンポジウム 糖尿病研究の進歩と治療, 第498回新潟医学会) | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | coronary artery disease | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | microalbuminuria | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | hyperinsulinemia | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | syndrome X | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | dipyridamole loading thallium myocardial scintigraphy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 冠動脈疾患 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 微量アルブミン尿 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 高インスリン血症 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | シンドロームX | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | ジピリダモール負荷タリウム心筋シンチグラフィ | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | departmental bulletin paper | |||||
その他のタイトル | ||||||
その他のタイトル | Diabetes Mellitus and Ischemic Heart Disease (Recent Advances in Research and Treatment of Diabetes Mellitus) | |||||
著者 |
津田, 隆志
× 津田, 隆志× 山口, 利夫× 津田, 昌子× 千葉, 泰子× 矢田, 省吾× 浜, 斉 |
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著者別名 | ||||||
識別子 | 117690 | |||||
識別子Scheme | WEKO | |||||
姓名 | Tsuda, Takashi | |||||
著者別名 | ||||||
識別子 | 117691 | |||||
識別子Scheme | WEKO | |||||
姓名 | Yamaguchi, Toshio | |||||
著者別名 | ||||||
識別子 | 117692 | |||||
識別子Scheme | WEKO | |||||
姓名 | Tsuda, Akiko | |||||
著者別名 | ||||||
識別子 | 117693 | |||||
識別子Scheme | WEKO | |||||
姓名 | Chiba, Yasuko | |||||
著者別名 | ||||||
識別子 | 117694 | |||||
識別子Scheme | WEKO | |||||
姓名 | Yata, Shogo | |||||
著者別名 | ||||||
識別子 | 117695 | |||||
識別子Scheme | WEKO | |||||
姓名 | Hama, Hitoshi | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Clinical and epidemiologic studies have shown an increased risk of coronary artery disease (CAD) among patients with diabetes mellitus (DM). Hyperglycemia has atherogenic action on the vessel wall due to several mechanisms, which include change of glycosylation and gene expression. Microalbuminuria is not only a prediction of clinical nephropathy but also cardiovascular disease. Insulin resistance has another atherogenic action. Syndrome X is a status related to insulin resistance which includes hyperinsulinemia, impaired glucose tolerance (IGT), hypertension, hypertriglyceridemia and low HDL cholesteremia. Asymptomatic myocardial ischemia may be commoner in diabetic patients. Exercise testing showed a low exercise capacity in diabetic patients, but false positive rate is high. Dipyridamole loading thallium myocardial scintigraphy is highly sensitive in a detection of CAD in DM. Diabetic patients have more coronary artery disease than nondiabetics, but no more diffuse or inoperable disease. In medical treatment, the choice of drugs, must be determined by the severity of symptom, tolerance of specific side effects, likelihood of adverse effects and presence of coexisting disease. DM is a strong risk factor for restenosis after PTCA. Compared to non-diabetics, CABG mortality rate in diabetics is consistently higher. Acute myocardial infarction is a major complication of diabetes. In-hospital mortality is approximately doubled in three of four studies which described acute infarction in diabetics. We conclude that more early blood sugar and risk factor control in IGT is protection of cardiovascular disease. | |||||
書誌情報 |
新潟医学会雑誌 en : 新潟医学会雑誌 巻 108, 号 12, p. 887-890, 発行日 1994-12 |
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出版者 | ||||||
出版者 | 新潟医学会 | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 00290440 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00182415 | |||||
著者版フラグ | ||||||
値 | publisher |