Diabetul zaharat (DZ) este un important factor de risc cardiovascular. El sporeşte morbiditatea şi mortalitatea cardiovasculară, fi ind asociat cu leziuni aterosclerotice coronariene extinse. Una din cele mai frecvent întâlnite complicaţii la diabetici este sindromul coronarian acut (SCA). Prognosticul SCA asociat DZ este, de obicei, rezervat. Explicaţia poate fi frecvenţa înaltă a infarctului miocardic repetat, dezvoltarea frecventă a insufi cienţei cardiace congestive şi a unei efi cacităţi reduse a strategiilor de reperfuzie. Prin urmare, pacientul diabetic cu boală coronariană necesită o abordare mai particulară şi un tratament specifi c adresat, inclusiv statutului diabetic.

Diabetes mellitus is an important risk factor for coronary heart disease. Diabetes is associated with extensive coronary artery atherosclerosis, that increases cardiovascular morbidity and mortality. Acute coronary syndrome is the most common complication in diabetic patients. The high frequency of recurrent myocardial infarction, the frequent development of congestive heart failure and the lower efficiency of the reperfusion strategies represent the leading causes of a poor prognosis in diabetics with acute coronary syndrome. Therefore, diabetic patient with coronary heart disease needs special management and treatment, including adequate correction of the of diabetic status.