Abadie E, Masquet C, Guiomard A, Passa P
Diabete Metab. 1983 Mar;9(1):53-7.
In this retrospective study, the coronary angiograms of 36 diabetic and 36 non-diabetic patients, with severe ischaemic heart disease, were compared. Patient groups were closely matched for age, sex, cardiovascular risk factors, duration and functional disability of angina. Coronary angiograms were assessed by an independent observer without knowledge of the clinical status of the patients, and graded using a coronary score system. Left ventricular function was analyzed using computerized angiographic data. The same percentage of diabetic and non-diabetic patients had three-vessel disease. The mean coronary score per patient was similar in the two groups. Diabetic and non-diabetic patients had a statistically similar percentage of diseased vessels considered suitable for coronary bypass surgery. Left ventricular function was similar in the two groups. Thus diabetic patients with symptomatic coronary artery disease should be considered for angiographic evaluation using the same criteria as non-diabetics.
在这项回顾性研究中，比较了36例患有严重缺血性心脏病的糖尿病患者和36例非糖尿病患者的冠状动脉造影。患者组在年龄、性别、心血管危险因素、心绞痛持续时间和功能残疾方面进行了密切匹配。冠状动脉造影由一名不了解患者临床状况的独立观察者进行评估，并使用冠状动脉评分系统进行分级。使用计算机血管造影数据分析左心室功能。糖尿病患者和非糖尿病患者发生三支血管病变的比例相同。两组患者的平均冠状动脉评分相似。糖尿病患者和非糖尿病患者中，被认为适合冠状动脉搭桥手术的病变血管百分比在统计学上相似。两组的左心室功能相似。因此，有症状冠状动脉疾病的糖尿病患者应与非糖尿病患者一样，考虑采用相同标准进行血管造影评估。
