Men with type 2 diabetes and men with previous heart attack or stroke had a 3 to 4 fold risk of cardiovascular death compared to men without either disease in the years following the first acute event, according to a study in CMAJ.
The study underscores the high risk of diabetes, as "men with type 2 diabetes and no previous cardiovascular disease had a 3-fold cardiovascular mortality risk compared with men with neither cardiovascular disease nor diabetes at the beginning of the follow-up," write Dr. Gilles Dagenais and colleagues from Laval University and the University of Montreal.
However, the study was limited to white men and diabetes was self-reported in two-thirds of cases.
During the first five years, men with type 2 diabetes had a lower risk for cardiovascular mortality compared to men with previous heart attack or stroke and without diabetes but in the long term the 2 groups had similar mortality risks.
These findings underscore the need for prevention and optimal management of diabetes, stroke and heart disease.
Source: Canadian Medical Association Journal
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