Abstract

SIXT, Sebastian; KORFF, Nicolai; SCHULER, Gerhard  and  NIEBAUER, Josef. Current therapeutical options in diabetes mellitus type 2 and coronary artery disease: intensive secondary prevention with focus on exercise training versus percutaneous or surgical revascularization. Rev Bras Med Esporte [online]. 2004, vol.10, n.3, pp. 220-223. ISSN 1517-8692.  http://dx.doi.org/10.1590/S1517-86922004000300012.

Diabetes mellitus is one of the major risk factors for coronary artery disease. The disease progresses faster in diabetic patients and is associated with a worse prognosis. Although bypass surgery or percutaneous interventions with stent implantation provide quick symptomatic relief for patients with stable coronary artery disease, it has no substantial prognostic benefit. A multifactorial intervention including dietary measures, blood-glucose control, anti-hypertensive treatment, and regular physical exercise does have a positive influence on the modifiable risk factors, and improves among others cardiovascular fitness and angina-free exercise tolerance.

Keywords : Diabetes mellitus; Coronary artery disease; Coronary artery bypass graft; Stent implantation; Multi-factorial intervention; Physical exercise.