Coronary stent implantation in diabetic versus nondiabetic patients. Early and late outcomes
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 di...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cardiologia (SBC)
2000-11-01
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| Series: | Arquivos Brasileiros de Cardiologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2000001100001 |
| _version_ | 1818109402919469056 |
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| author | Denis Moulin Bayerl Erasmo Siqueira Isaac Moscoso Elise Santos Alexandre Maeda Oscar Bittencourt M. Fernanda Mauro Salvador Cristovão Adnan Salman Gustavo Sanches José Armando Mangione |
| author_facet | Denis Moulin Bayerl Erasmo Siqueira Isaac Moscoso Elise Santos Alexandre Maeda Oscar Bittencourt M. Fernanda Mauro Salvador Cristovão Adnan Salman Gustavo Sanches José Armando Mangione |
| author_sort | Denis Moulin Bayerl |
| collection | DOAJ |
| description | 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%) patients and the diabetic group 81 (21%) patients. Basic clinical and angiographic characteristics were similar. Angiographic success was in diabetics = 96.6% vs in nondiabetics = 97.9% (p=ns). Among the major complications in the in-hospital phase, the rate of myocardial infarction was higher in the diabetic group (7.4% vs 1.9%) (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% vs 2.4%, 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. |
| first_indexed | 2024-12-11T02:30:41Z |
| format | Article |
| id | doaj.art-5a404c61774a4f679284671c68dcbc07 |
| institution | Directory Open Access Journal |
| issn | 0066-782X 1678-4170 |
| language | English |
| last_indexed | 2024-12-11T02:30:41Z |
| publishDate | 2000-11-01 |
| publisher | Sociedade Brasileira de Cardiologia (SBC) |
| record_format | Article |
| series | Arquivos Brasileiros de Cardiologia |
| spelling | doaj.art-5a404c61774a4f679284671c68dcbc072022-12-22T01:23:50ZengSociedade Brasileira de Cardiologia (SBC)Arquivos Brasileiros de Cardiologia0066-782X1678-41702000-11-0175536536810.1590/S0066-782X2000001100001Coronary stent implantation in diabetic versus nondiabetic patients. Early and late outcomesDenis Moulin BayerlErasmo SiqueiraIsaac MoscosoElise SantosAlexandre MaedaOscar BittencourtM. Fernanda MauroSalvador CristovãoAdnan SalmanGustavo SanchesJosé Armando MangioneOBJECTIVE: 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%) patients and the diabetic group 81 (21%) patients. Basic clinical and angiographic characteristics were similar. Angiographic success was in diabetics = 96.6% vs in nondiabetics = 97.9% (p=ns). Among the major complications in the in-hospital phase, the rate of myocardial infarction was higher in the diabetic group (7.4% vs 1.9%) (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% vs 2.4%, 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2000001100001diabetes mellituscoronary artery diseasecoronary stent |
| spellingShingle | Denis Moulin Bayerl Erasmo Siqueira Isaac Moscoso Elise Santos Alexandre Maeda Oscar Bittencourt M. Fernanda Mauro Salvador Cristovão Adnan Salman Gustavo Sanches José Armando Mangione Coronary stent implantation in diabetic versus nondiabetic patients. Early and late outcomes Arquivos Brasileiros de Cardiologia diabetes mellitus coronary artery disease coronary stent |
| title | Coronary stent implantation in diabetic versus nondiabetic patients. Early and late outcomes |
| title_full | Coronary stent implantation in diabetic versus nondiabetic patients. Early and late outcomes |
| title_fullStr | Coronary stent implantation in diabetic versus nondiabetic patients. Early and late outcomes |
| title_full_unstemmed | Coronary stent implantation in diabetic versus nondiabetic patients. Early and late outcomes |
| title_short | Coronary stent implantation in diabetic versus nondiabetic patients. Early and late outcomes |
| title_sort | coronary stent implantation in diabetic versus nondiabetic patients early and late outcomes |
| topic | diabetes mellitus coronary artery disease coronary stent |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2000001100001 |
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