Dussaillant G, Pacheco C, Ramírez A, Ugalde H, Antibilo S, Silva A M, Farías E, Oyonarte M
Laboratorio de Hemodinamia, Centro Cardiovascular del Hospital Clínico de la Universidad de Chile, Santiago de Chile.
Rev Med Chil. 2001 Aug;129(8):861-70.
The success of revascularization procedures for coronary artery disease could be lower in diabetic patients.
To report the results of coronary angioplasty in diabetic and non diabetic patients.
All angioplasty procedures performed between 1996 and 1999 were recorded. Demographic data, procedure details, hospital outcome and evolution at one year of follow up were analyzed.
During the study period, 358 patients were treated; of these, 79 were diabetics. Despite the greater severity of coronary lesions among diabetic patients the clinical success of the procedure was 92.4% in diabetics and 91.8% in non diabetics. Hospital mortality was 1.3% in diabetics and 0.7% in non diabetics. Major complications occurred in 3.8% of diabetics and 3.2% in non diabetics. One year survival was 95.9% for diabetics and 98% in non diabetics. There were five late cardiac deaths among non diabetics and 3 among diabetics during the year of follow up. The frequency of new revascularization procedures was 4.3% in diabetics and 8.3% in non diabetics. Event-free survival was 95.6% in diabetics and 89.2% in non diabetics.
Results of angioplasty were similar in diabetic and non diabetic patients in terms of hospital outcome and late follow-up.
糖尿病患者冠状动脉疾病血运重建手术的成功率可能较低。
报告糖尿病患者和非糖尿病患者冠状动脉成形术的结果。
记录1996年至1999年期间进行的所有血管成形术。分析人口统计学数据、手术细节、医院结局及随访一年时的病情进展。
研究期间共治疗358例患者，其中79例为糖尿病患者。尽管糖尿病患者的冠状动脉病变更为严重，但该手术在糖尿病患者中的临床成功率为92.4%，在非糖尿病患者中为91.8%。糖尿病患者的医院死亡率为1.3%，非糖尿病患者为0.7%。糖尿病患者的主要并发症发生率为3.8%，非糖尿病患者为3.2%。糖尿病患者的一年生存率为95.9%，非糖尿病患者为98%。随访期间，非糖尿病患者中有5例晚期心脏死亡，糖尿病患者中有3例。糖尿病患者新血管重建手术的发生率为4.3%，非糖尿病患者为8.3%。糖尿病患者无事件生存率为95.6%，非糖尿病患者为89.2%。
就医院结局和晚期随访而言，糖尿病患者和非糖尿病患者血管成形术的结果相似。
