Revascularization strategies in patients with Type 2 diabetes mellitus

被引:1
|
作者
Choi, Sharon S. [1 ]
Mehran, Roxana [1 ,2 ]
机构
[1] Icahn Sch Med Mt Sinai, New York, NY 10029 USA
[2] Cardiovasc Res Fdn, New York, NY USA
关键词
acute coronary syndrome; coronary artery bypass graft surgery; coronary revascularization; diabetes mellitus; percutaneous coronary intervention; stable coronary disease;
D O I
10.1586/14779072.2013.839190
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This review aims to describe new developments in coronary revascularization strategies for patients with pre-existing Type 2 diabetes mellitus (DM). Recommended strategies for revascularization have been an active area of study with recent important developments. In patients with Type 2 DM and multivessel coronary artery disease (CAD), coronary artery bypass graft (CABG) surgery is the preferred method for revascularization. Patients with DM are at increased risk for diffuse cardiovascular disease due to the proinflammatory, prothrombotic effects of chronic hyperglycemia. In patients undergoing percutaneous coronary intervention, drug-eluting stents and more potent antiplatelet agents especially in those presenting with acute coronary syndromes should be employed.
引用
收藏
页码:1337 / 1347
页数:11
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