Diabetic patients with multivessel coronary disease treated by percutaneous coronary intervention
Abstract
Introduction: Coronary heart disease is the leading cause of morbidity and mortality in diabetic patients. Many studies have compared medical therapy plus percutaneous intervention with medical therapy plus surgery in diabetic patients with multivessel disease. Bypass surgery remains the treatment of choice.
Objective: To characterize diabetic patients with multivessel coronary disease treated by percutaneous coronary intervention.
Method: An observational, descriptive and cross-sectional study was conducted in 57 diabetic patients with multivessel coronary disease who were treated by percutaneous coronary intervention at the laboratory of hemodynamics of the Hermanos Ameijeiras Hospital from January 2010 to July 2011.
Results: There was a predominance of male patients (66.66%), and the group aged 50-64 years was the most affected one (36.85%). The most common cardiovascular risk factor was hypertension (54.38%), followed by dyslipidemia (49.12%). Dyslipidemia and smoking predominated in the most affected age group. The most common diagnosis was stable angina (45 patients, 78.95%). The type of stent that was most commonly used was the drug-eluting stent (54.39%), and the artery that most commonly underwent revascularization was the left anterior descending artery (36 patients, 63.15%).
Conclusions: An association was found between the patients without angiographic success and the presence of dyslipidemia and obesity, and between the patients without procedural success and smoking and obesity.
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