Chinese expert consensus on the risk assessment and management of panvascular disease inpatients with type 2 diabetes mellitus (2022 edition)

Author:

Chu Xi1,Feng Bo2,Ge Junbo34,Guo Lixin5,Huo Yong6,Ji Linong7,Jia Qian8,Jiang Song9,Li Yong10,Liu Fang11,Liu Xinfeng12,Liu Yuping13,Lu Bin10,Lv Ankang14,Wang Yongjun8,Weng Jianping15,Zeng Qiang16,Zhang Yingmei3,Zhou Jingmin3,

Affiliation:

1. Department of Urology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China.

2. Department of Endocrinology, East Hospital, Tongji University School of Medicine, Shanghai 200120, China.

3. Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China.

4. Institute of Cardiovascular Diseases, China National Clinical Research Center for Interventional Medicine, Shanghai 200032, China.

5. Beijing Hospital, Tsinghua University School of Medicine, Beijing 100005, China.

6. Department of Cardiology, Peking University First Hospital, Peking University School of Medicine, Beijing 100034, China.

7. Department of Endocrinology and Metabolism, Peking University People’s Hospital, Peking University School of Medicine, Beijing 100034, China.

8. Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China.

9. Department of Cardiology, National Clinical Research Center for Kidney Diseases, Nanjing General Hospital of Nanjing Military Command, Nanjing 210016, China.

10. Department of Cardiology, Huashan Hospital, Fudan University, Shanghai 311599, China.

11. Department of Endocrinology and Metabolism, Shanghai General Hospital, Shanghai First People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200940, China.

12. Stroke Center and Department of Neurology, The First Affiliated Hospital of the University of Science and Technology of China, Shanghai 200123, China.

13. Health Management Center, Sichuan Provincial People’s Hospital, Sichuan Academy of Medical Sciences, Chengdu 610072, China.

14. Department of Cardiology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.

15. Institute of Endocrine Metabolic Diseases, The First Affiliated Hospital of the University of Science and Technology of China, Clinical Research Hospital of Chinese Academy of Sciences, University of Science and Technology of China, Hefei 230022, China.

16. Health Management Institute, The Second Medical Center & National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Bejing 100089, China.

Abstract

Panvascular disease is not only a common comorbidity of type 2 diabetes mellitus (T2DM) but also the leading cause of disability and death in T2DM patients. To promote multidisciplinary cooperation and integration for early detection of panvascular disease in patients with T2DM, a group of Chinese researchers in the fields of cardiovascular disease, endocrinology, nephrology, neurology, and health management led by the Chinese Society of Cardiology and Chinese Medical Association, formed a “Chinese Expert Consensus on Risk Assessment and Management of Panvascular Disease in Patients with Type 2 Diabetes” study group to review the latest evidence and major developments in relevant domestic and international disciplines to develop this consensus. The consensus covers the epidemiological characteristics, pathophysiological mechanisms, multidisciplinary collaborative treatments, and risk assessment and management of panvascular disease in patients with T2DM, with an emphasis on early-risk assessment of panvascular disease in patients with T2DM, including the assessment of risk factors, vascular structure and function, and target organ damage at least once a year. In addition, this consensus emphasized that managing panvascular disease in patients with T2DM requires the involvement of both patients and multidisciplinary physicians, and reinforces the importance of controlling blood glucose, blood pressure, and lipids and anti-platelet therapy in addition to lifestyle interventions. This consensus will help guide and assist clinicians regarding the standardized and comprehensive management of panvascular disease in patients with T2DM and improve patient prognosis.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Cardiology and Cardiovascular Medicine

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