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...

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Main Authors: Elena Zelikovna Golukhova, Elena Vladislavovna Kuznetsova
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
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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.
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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
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