Abstract

Diabetes Mellitus (DM) as ominous presumptive diagnostic of chronic kidney disease (CKD) worsening to endstage renal damage (ESRD) is one of the spontaneous elicit in general health affair. The longstanding diabetes in young ages firmly evokes the exceptional cardiovascular risk factors manifestation and the initiative progression of diabetic micro angiopathies and macro angiopathies. The latent pathophysiological mechanisms are strongly provocative of chronic heart failure and myocardial infarction by the potential contributor of hyperglycemia in the hemodynamic derangements confounding to the natural history of diabetes with vulnerable silent symptoms.

Keywords: Coronary heart disease; ST elevation; Myocardial infarction; Diabetic nephropathy, Chronic kidney disease, Risk of premature death