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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

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.

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


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