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冠状动脉疾病:CAD 和糖尿病患者的血运重建策略。

Coronary artery disease: revascularization strategies for patients with CAD and diabetes.

机构信息

Section of Cardiology, Room 2E99, Christiana Hospital, 4755 Ogletown-Stanton Road, Newark, DE 19718, USA.

出版信息

Nat Rev Cardiol. 2010 Jul;7(7):364-6. doi: 10.1038/nrcardio.2010.82.

DOI:10.1038/nrcardio.2010.82
PMID:20577296
Abstract

CABG surgery has been considered the optimal revascularization strategy for patients with diabetes mellitus who have lexft main and/or multivessel coronary artery disease. The results of a new analysis of data from the SYNTAX trial challenge this conventional wisdom and highlight additional coronary revascularization options to physicians and patients.

摘要

冠状动脉旁路移植术(CABG)一直被认为是左主干和/或多支冠状动脉疾病的糖尿病患者的最佳血运重建策略。SYNTAX 试验数据的一项新分析结果对这一传统观点提出了挑战,并为医生和患者提供了更多的冠状动脉血运重建选择。

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Coronary artery disease: revascularization strategies for patients with CAD and diabetes.冠状动脉疾病:CAD 和糖尿病患者的血运重建策略。
Nat Rev Cardiol. 2010 Jul;7(7):364-6. doi: 10.1038/nrcardio.2010.82.
2
The Gordian knot of revascularization for multivessel coronary artery disease.多支冠状动脉疾病血运重建的棘手难题。
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3
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JACC Cardiovasc Interv. 2009 Jul;2(7):622-3. doi: 10.1016/j.jcin.2009.05.009.
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本文引用的文献

1
Diabetic and nondiabetic patients with left main and/or 3-vessel coronary artery disease: comparison of outcomes with cardiac surgery and paclitaxel-eluting stents.左主干和/或 3 支血管病变的糖尿病和非糖尿病患者:心脏手术与紫杉醇洗脱支架治疗结果的比较。
J Am Coll Cardiol. 2010 Mar 16;55(11):1067-75. doi: 10.1016/j.jacc.2009.09.057. Epub 2010 Jan 14.
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Percutaneous coronary intervention, diabetes mellitus, and death.经皮冠状动脉介入治疗、糖尿病与死亡
J Am Coll Cardiol. 2010 Mar 16;55(11):1076-9. doi: 10.1016/j.jacc.2009.09.056. Epub 2010 Jan 14.
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A randomized trial of therapies for type 2 diabetes and coronary artery disease.
In Patients with Coronary Artery Disease and Type 2 Diabetes, SIRT1 Expression in Circulating Mononuclear Cells Is Associated with Levels of Inflammatory Cytokines but Not with Coronary Lesions.
在冠状动脉疾病和2型糖尿病患者中,循环单核细胞中的SIRT1表达与炎性细胞因子水平相关,但与冠状动脉病变无关。
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2型糖尿病与冠状动脉疾病治疗的随机试验
N Engl J Med. 2009 Jun 11;360(24):2503-15. doi: 10.1056/NEJMoa0805796. Epub 2009 Jun 7.
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Coronary artery bypass surgery compared with percutaneous coronary interventions for multivessel disease: a collaborative analysis of individual patient data from ten randomised trials.多支血管病变的冠状动脉搭桥手术与经皮冠状动脉介入治疗的比较:来自十项随机试验的个体患者数据的协作分析
Lancet. 2009 Apr 4;373(9670):1190-7. doi: 10.1016/S0140-6736(09)60552-3. Epub 2009 Mar 19.
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Percutaneous coronary intervention versus coronary-artery bypass grafting for severe coronary artery disease.经皮冠状动脉介入治疗与冠状动脉旁路移植术治疗严重冠状动脉疾病的比较
N Engl J Med. 2009 Mar 5;360(10):961-72. doi: 10.1056/NEJMoa0804626. Epub 2009 Feb 18.
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ACCF/SCAI/STS/AATS/AHA/ASNC 2009 Appropriateness Criteria for Coronary Revascularization: a report by the American College of Cardiology Foundation Appropriateness Criteria Task Force, Society for Cardiovascular Angiography and Interventions, Society of Thoracic Surgeons, American Association for Thoracic Surgery, American Heart Association, and the American Society of Nuclear Cardiology Endorsed by the American Society of Echocardiography, the Heart Failure Society of America, and the Society of Cardiovascular Computed Tomography.美国心脏病学会基金会/心血管造影和介入学会/胸外科医师学会/美国胸外科协会/美国心脏协会/美国核心脏病学会2009年冠状动脉血运重建适宜性标准:由美国心脏病学会基金会适宜性标准工作组、心血管造影和介入学会、胸外科医师学会、美国胸外科协会、美国心脏协会以及美国核心脏病学会发布的报告,得到美国超声心动图学会、美国心力衰竭学会和心血管计算机断层扫描学会认可。
J Am Coll Cardiol. 2009 Feb 10;53(6):530-53. doi: 10.1016/j.jacc.2008.10.005.
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Long-term safety and efficacy of percutaneous coronary intervention with stenting and coronary artery bypass surgery for multivessel coronary artery disease: a meta-analysis with 5-year patient-level data from the ARTS, ERACI-II, MASS-II, and SoS trials.经皮冠状动脉介入治疗联合支架置入术与冠状动脉旁路移植术治疗多支冠状动脉疾病的长期安全性和疗效:一项基于ARTS、ERACI-II、MASS-II和SoS试验5年患者水平数据的荟萃分析。
Circulation. 2008 Sep 9;118(11):1146-54. doi: 10.1161/CIRCULATIONAHA.107.752147. Epub 2008 Aug 25.
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Primary stenting versus primary balloon angioplasty for treating acute myocardial infarction.原发性支架置入术与原发性球囊血管成形术治疗急性心肌梗死的比较。
Cochrane Database Syst Rev. 2005 Apr 18;2005(2):CD005313. doi: 10.1002/14651858.CD005313.
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Influence of diabetes on 5-year mortality and morbidity in a randomized trial comparing CABG and PTCA in patients with multivessel disease: the Bypass Angioplasty Revascularization Investigation (BARI).在一项比较冠状动脉搭桥术(CABG)和经皮冠状动脉腔内血管成形术(PTCA)治疗多支血管病变患者的随机试验中,糖尿病对5年死亡率和发病率的影响:冠状动脉搭桥术与血管成形术血运重建研究(BARI)。
Circulation. 1997 Sep 16;96(6):1761-9. doi: 10.1161/01.cir.96.6.1761.