[Survival of diabetic patients with known coronary artery disease].

Abstract:

BACKGROUND:The risk of cardiovascular diseases is two to four times higher in diabetic patients. AIM:To study the severity of coronary disease and survival of patients with diabetes mellitus, compared to matched controls without diabetes. PATIENTS AND METHODS:A retrospective review of all coronary angiographies performed at a private hospital. All diabetic patients with coronary lesions over 50% were considered as the index group. Non diabetic patients with coronary artery lesions over 50% and with similar demographic features and risk factors to the diabetic patients group, were studied as controls. A follow up was done reviewing clinical records and by telephone interviews. Mortality was obtained reviewing death certificates. RESULTS:Seventy seven diabetic patients (48 male, mean age 61+/-10 years and 129 non diabetic subjets (87 males, mean age 61+/-10 years) were studied. Mean follow up in diabetic and non diabetic patients was 1,270 and 1,340 days respectively. Diabetic patients had a higher frequency of multiple vessel disease than their non diabetic counterparts (69 and 52% respectively, p<0.003). Ejection fraction was 61 and 65% in diabetics and non diabetics. General mortality was 15.5 and 2.3% in diabetics and non diabetic respectively (p<0.01). Cardiovascular mortality was 9.1 and 0.8% in diabetics and non diabetics respectively (p 0.002). CONCLUSIONS:Diabetic patients with coronary artery disease have a lower survival and more extensive coronary artery lesions than non diabetic patients with similar age, sex and overall coronary risk.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Gajardo J,Olmos A,Seguel I,Saldaña A,Román L,Naveas R,Verdugo EU

doi

10.4067/s0034-98872004000300008

subject

Has Abstract

pub_date

2004-03-01 00:00:00

pages

331-6

issue

3

eissn

0034-9887

issn

0717-6163

journal_volume

132

pub_type

杂志文章
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