Cardiovascular
disease
Cardiometabolic
Outline
• 1. Definition cardiometabolic and diabetes
• 2. Diabetes continuum
• 3. Etiopathogenesis related to cardiovascular disease
• 4. Diabetes prevention
• 5. Cardiovascular continuum and prevention
• 6. Take home message
Definition cardiometabolic risk
A condition in which the possibilities of developing atherosclerotic
cardiovascular (CV) disease and diabetes mellitus are significantly
enhanced as a consequence of the presence of insulin
resistance and atherogenic dyslipidemia
Sindrom Metabolik (SM)
• Prevensi diabetes
• Penurunan berat badan / weight loss
• Latihan / Exercise
• Medikasi
Pengaruh weight loss terhadap
Intra abdominal (Viseral) Fat ?
Medikasi
Lifestyle
Drug Placebo
intervention
by Victor J. Dzau, Elliott M. Antman, Henry R. Black, David L. Hayes, JoAnn E. Manson, Jorge Plutzky,
Jeffrey J. Popma, and William Stevenson
Circulation
Volume 114(25):2850-2870
December 19, 2006
Figure 1. The cardiovascular disease continuum.
menekankan pada
pengerasan dan penuaan
pembuluh darah, serta
abnormalitas mikrosirkulasi
Outline
• 1. Definition cardiometabolic and diabetes
• 2. Diabetes continuum
• 3. Etiopathogenesis related to cardiovascular disease
• 4. Diabetes prevention
• 5. Cardiovascular continuum and prevention
• 6. Take home message
Take home message
• Diabetes dengan dasar patofisiologi resistensi insulin menyebabkan
efek metabolik, dan sangat erat berkaitan dan berpotensi sangat
tinggi menjadi penyakit kardiovaskular
• Usaha preventif terhadap diabetes dan penyakit kardiovaskular harus
dilakukan sedini mungkin, dari sejak tahap prediabetes
• Terapi gaya hidup; latihan fisik rutin, nutrisi seimbang dan penurunan
berat badan menjadi conner stone dari usaha prevensi diabetes dan
penyakit kardiovaskular di kemudian hari