Percutaneous coronary interventions in diabetics: The never-ending challenge.
Jorge A BelardiAlfonsina CandielloPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2019)
Diabetes mellitus (DM) is a multisystem disorder and a recognized risk factor for coronary artery disease (CAD) and DM patient are particularly challenging for revascularization. In this "real world" retrospective study post-PCI DM patients showed a high risk profile compared to the non-DM group, given by the higher prevalence of cardiovascular risk factors, multiple vessel disease, and renal dysfunction, with the highest rates seen in the ITDM. Only ITDM patients present higher 30-day mortality compared to non-DM patients in the urgent and primary PCI setting. Also ITDM, but not those NITDM patients, had an increased long-term mortality in the overall cohort and in all PCI setting.
Keyphrases
- coronary artery disease
- end stage renal disease
- ejection fraction
- newly diagnosed
- cardiovascular risk factors
- percutaneous coronary intervention
- heart failure
- prognostic factors
- peritoneal dialysis
- acute myocardial infarction
- acute coronary syndrome
- cardiovascular events
- risk factors
- metabolic syndrome
- cardiovascular disease
- atrial fibrillation
- patient reported outcomes
- aortic valve
- transcatheter aortic valve replacement
- ultrasound guided
- aortic stenosis
- weight loss