Myocardial revascularization in patients with type 2 diabetes mellitus: An overview of modern techniques
For patients with coronary artery disease (CAD), in combination with diabetes mellitus, diffuse multivessel coronary artery lesions are common. Such patients are prone to a more rapid progression of atherosclerosis, significantly increasing the need for myocardial revascularization. The choice of an...
Main Authors: | , |
---|---|
Format: | Article |
Language: | English |
Published: |
Endocrinology Research Centre
2016-11-01
|
Series: | Сахарный диабет |
Subjects: | |
Online Access: | https://www.dia-endojournals.ru/jour/article/view/8031 |
_version_ | 1826588077386104832 |
---|---|
author | Elena Zelikovna Golukhova Elena Vladislavovna Kuznetsova |
author_facet | Elena Zelikovna Golukhova Elena Vladislavovna Kuznetsova |
author_sort | Elena Zelikovna Golukhova |
collection | DOAJ |
description | For patients with coronary artery disease (CAD), in combination with diabetes mellitus, diffuse multivessel coronary artery lesions are common. Such patients are prone to a more rapid progression of atherosclerosis, significantly increasing the need for myocardial revascularization. The choice of an optimal approach determines the prognosis and course of CAD. The results of randomized trials show that the use of percutaneous coronary interventions with drug-eluting stents is appropriate for patients with one or two coronary artery lesions, but that coronary artery bypass graft surgery is preferred in cases of multivessel disease and significantly reduces the risk of long-term adverse events. It should also be noted that the use of modern generations of stents allows the achievement of comparable results in terms of long-term mortality, which was most convincingly demonstrated in patients with one or two vascular lesions. |
first_indexed | 2024-03-08T15:20:44Z |
format | Article |
id | doaj.art-e15f4e78a6b949838ded6e3ea9cd04c4 |
institution | Directory Open Access Journal |
issn | 2072-0351 2072-0378 |
language | English |
last_indexed | 2025-03-14T16:35:36Z |
publishDate | 2016-11-01 |
publisher | Endocrinology Research Centre |
record_format | Article |
series | Сахарный диабет |
spelling | doaj.art-e15f4e78a6b949838ded6e3ea9cd04c42025-02-21T09:29:34ZengEndocrinology Research CentreСахарный диабет2072-03512072-03782016-11-0119540641310.14341/DM80317535Myocardial revascularization in patients with type 2 diabetes mellitus: An overview of modern techniquesElena Zelikovna Golukhova0Elena Vladislavovna Kuznetsova1Bakoulev Scientific Center for cardiovascular SurgeryBakoulev Scientific Center for cardiovascular SurgeryFor patients with coronary artery disease (CAD), in combination with diabetes mellitus, diffuse multivessel coronary artery lesions are common. Such patients are prone to a more rapid progression of atherosclerosis, significantly increasing the need for myocardial revascularization. The choice of an optimal approach determines the prognosis and course of CAD. The results of randomized trials show that the use of percutaneous coronary interventions with drug-eluting stents is appropriate for patients with one or two coronary artery lesions, but that coronary artery bypass graft surgery is preferred in cases of multivessel disease and significantly reduces the risk of long-term adverse events. It should also be noted that the use of modern generations of stents allows the achievement of comparable results in terms of long-term mortality, which was most convincingly demonstrated in patients with one or two vascular lesions.https://www.dia-endojournals.ru/jour/article/view/8031coronary heart diseasediabetes mellitus 2 typecoronary artery bypass graft surgerypercutaneous coronary interventions |
spellingShingle | Elena Zelikovna Golukhova Elena Vladislavovna Kuznetsova Myocardial revascularization in patients with type 2 diabetes mellitus: An overview of modern techniques Сахарный диабет coronary heart disease diabetes mellitus 2 type coronary artery bypass graft surgery percutaneous coronary interventions |
title | Myocardial revascularization in patients with type 2 diabetes mellitus: An overview of modern techniques |
title_full | Myocardial revascularization in patients with type 2 diabetes mellitus: An overview of modern techniques |
title_fullStr | Myocardial revascularization in patients with type 2 diabetes mellitus: An overview of modern techniques |
title_full_unstemmed | Myocardial revascularization in patients with type 2 diabetes mellitus: An overview of modern techniques |
title_short | Myocardial revascularization in patients with type 2 diabetes mellitus: An overview of modern techniques |
title_sort | myocardial revascularization in patients with type 2 diabetes mellitus an overview of modern techniques |
topic | coronary heart disease diabetes mellitus 2 type coronary artery bypass graft surgery percutaneous coronary interventions |
url | https://www.dia-endojournals.ru/jour/article/view/8031 |
work_keys_str_mv | AT elenazelikovnagolukhova myocardialrevascularizationinpatientswithtype2diabetesmellitusanoverviewofmoderntechniques AT elenavladislavovnakuznetsova myocardialrevascularizationinpatientswithtype2diabetesmellitusanoverviewofmoderntechniques |