Open AccessMyocardial revascularization in diabetic patients presenting with critical limbischemia
Author(s) -
И И Дедов,
Дедов Иван Иванович,
Victor Yur'evich Kalashnikov,
Калашников Виктор Юрьевич,
Konstantin Vladimirovich Melkozerov,
Мелкозеров Константин Владимирович
Publication year - 2010
Publication title -
saharnyj diabet
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.155
H-Index - 12
eISSN - 2072-0378
pISSN - 2072-0351
DOI - 10.14341/2072-0351-6053
Subject(s) - medicine , cardiology , diabetes mellitus , revascularization , critical limb ischemia , complication , coronary artery disease , coronary heart disease , ischemia , disease , myocardial infarction , endocrinology
The frequency of diabetic complications remains high despite the development of improved therapeutic modalities. Macroangiopathy continues to bethe predominant complication while coronary heart disease is the main cause of mortality.This paper considers clinical features of diabetic patientswith coronary heart disease and critical limb ischemia; various aspects of optimal drug therapy, preoperative examination and diagnostics precedingvascular non-cardiac surgery; preoperative risk assessment; indications for coronary angiography and myocardial revascularization. The authors emphasizethe importance of development of algorithms for the treatment of patients with diabetes, critical limb ischemia, and coronary heart disease.