T here is no sugarcoating this: diabetes is a major risk factor for developing numerous cardiovascular complications and for greater risk of adverse outcomes once these complications ensue. Despite dramatic advancements in the management of cardiovascular disease (CVD) complications and unequivocal overall improvements in cardiovascular outcomes over the past several decades, the excess hazard of worse CVD outcomes associated with diabetes persists (1). Atrial fibrillation (AF), a common and increasingly prevalent condition in patients with diabetes, is no exception. In the Framingham study, with >38 years of followup, diabetes was associated with a 50% increase in development of AF (2). During a mean follow-up of 14.5 years in the ARIC (Atherosclerosis Risk in Communities) study, persons with versus those without diabetes developed AF at rates of 9.0 versus 4.5 per 1,000 person-years, respectively (3); similar reports of association between diabetes and increased risk of AF

中文翻译：

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伴随的糖尿病和心房颤动

这里绝非粉饰：糖尿病是导致许多心血管并发症的主要风险因素，一旦这些并发症发生，不良后果的风险就会更大。尽管在过去的几十年中，心血管疾病 (CVD) 并发症的管理取得了巨大进步，并且心血管结局的总体改善明显改善，但与糖尿病相关的 CVD 结局恶化的过度风险仍然存在 (1)。心房颤动 (AF) 是糖尿病患者中一种常见且日益流行的疾病，也不例外。在 Framingham 研究中，随访超过 38 年，糖尿病与 AF 发生率增加 50% 相关 (2)。在 ARIC（社区动脉粥样硬化风险）研究的平均 14.5 年随访期间，患有糖尿病的人和没有糖尿病的人发生 AF 的比率分别为每 1,000 人年 9.0 和 4.5 人 (3)；糖尿病与房颤风险增加之间关联的类似报告