Marked improvements in outcomes of contemporary percutaneous coronary intervention in patients with diabetes mellitus.

Abstract:

:We sought to determine if advances in percutaneous coronary intervention (PCI) are associated with better outcomes among patients with diabetes mellitus (DM). Patients with DM enrolled in the National Heart, Lung, and Blood Institute (NHLBI) early PTCA Registry (1985-1986) were compared to those in the subsequent contemporary Dynamic Registry (1999-2002) for in-hospital and one-year cardiovascular outcomes. The study population included 945 adults with DM, 325 from the PTCA Registry and 620 from the Dynamic Registry. Multivariable Cox regression models were built to estimate the risk of clinical events. Dynamic Registry patients were older, had more noncardiac comorbidities, and a lower mean ejection fraction (50.5% vs 57.8%, P < or = 0.001) compared to the PTCA Registry patients. The incidence of in-hospital mortality (1.9% vs 4.3%, P < or = 0.05), myocardial infarction (MI) (1.0% vs 7.4%, P

journal_name

J Interv Cardiol

authors

Freeman AM,Abbott JD,Jacobs AK,Vlachos HA,Selzer F,Laskey WK,Detre KM,Williams DO

doi

10.1111/j.1540-8183.2006.00211.x

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

475-82

issue

6

eissn

0896-4327

issn

1540-8183

pii

JOIC211

journal_volume

19

pub_type

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