Peter Mikeš, Ján Murín
The development of impaired glucose tolerance and later diabetes is a consequence of modern urban lifestyle and together with other risk factors for cardiovascular disease creates, a part of metabolic syndrome. Diabetic cardiomyopathy is defined as heart failure in diabetic patient without any other known reason. Typical for it is an impairment of myocardial metabolism with preference of less efficient free fatty acids beta oxidation in generating ATP. The goal in the management of diabetic patient with CAD is to prevent macro- and microvascular complications and improve the prognosis of the patient. To achieve this we need a multifactorial approach concerning lifestyle modification, medical therapy and strict control of glycaemia.