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Percutaneous coronary interventions in diabetics: The never‐ending challenge
Author(s) -
Belardi Jorge A.,
Candiello Alfonsina
Publication year - 2017
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.27147
Subject(s) - medicine , conventional pci , cardiology , coronary artery disease , percutaneous coronary intervention , diabetes mellitus , revascularization , risk factor , retrospective cohort study , cohort , myocardial infarction , endocrinology
Key Points 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.