Implante de stens coronarianos em pacientes diabéticos versus näo diabéticos. Resultados imediatos e evoluçäo a longo prazo / Coronary stent implantation in diabetic versus nondiabetic patients. Early and late outcomes
Arq. bras. cardiol
;
75(5): 361-8, Nov. 2000.
Article
in Portuguese, English
| LILACS
| ID: lil-273492
ABSTRACT
OBJECTIVE:
To assess whether coronary stenting in diabetic patients provides in-hospital results and clinical evolution similar to those in nondiabetic patients.METHODS:
From July `97 to April '99 we performed coronary stent implantation in 386 patients with coronary heart disease, who were divided into two groups diabetic patients and nondiabetic patients. The in-hospital results and the clinical evolution of each group were retrospectively analyzed.RESULTS:
The nondiabetic group comprised 305 (79 percent) patients and the diabetic group 81 (21 percent) patients. Basic clinical and angiographic characteristics were similar. Angiographic success was in diabetics = 96.6 percent vs in nondiabetics = 97.9 percent (p=ns). Among the major complications in the in-hospital phase, the rate of myocardial infarction was higher in the diabetic group (7.4 percent vs 1.9 percent) (p=0.022). In the follow-up, a favorable and homogeneous evolution occurred in regard to asymptomatic patients, myocardial infarction, and death in the groups. A greater need for revascularization, however, existed in the diabetic patients (15 percent vs 2.4 percent, p<0.001).CONCLUSION:
Coronary stenting in diabetic patients is an efficient procedure, with a high angiographic and clinical success rate similar to that in nondiabetic patients. Diabetic patients, however, had a higher incidence of in-hospital myocardial infarction and a greater need for additional myocardial revascularization
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Stents
/
Coronary Disease
/
Diabetes Mellitus
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Female
/
Humans
/
Male
Language:
English
/
Portuguese
Journal:
Arq. bras. cardiol
Journal subject:
Cardiology
Year:
2000
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Hospital São Joaquim da Real e Benemérita Sociedade Portuguesa de Beneficência/BR
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