Coronary Artery Disease and Diabetes Mellitus

被引：175

作者：

Aronson, Doron ^{[1
]}

Edelman, Elazer R. ^{[2
]}

机构：

[1] Technion Israel Inst Technol, Rambam Med Ctr, Dept Cardiol, IL-31096 Haifa, Israel

[2] Harvard Univ, Brigham & Womens Hosp, MIT, Cardiovasc Div,Dept Med,Inst Med Sci & Engn,Med S, Boston, MA 02115 USA

来源：

CARDIOLOGY CLINICS | 2014年 / 32卷 / 03期

关键词：

Blood glucose; Coronary disease; Diabetes mellitus; Hypoglycemic agents; Revascularization; Statins; INTERNAL THORACIC ARTERY; ACUTE MYOCARDIAL-INFARCTION; ELUTING STENT IMPLANTATION; AMERICAN-HEART-ASSOCIATION; INTENSIVE GLYCEMIC CONTROL; GLUCAGON-LIKE PEPTIDE-1; BARE METAL STENTS; 5-YEAR FOLLOW-UP; CARDIOVASCULAR-DISEASE; BYPASS-SURGERY;

D O I：

10.1016/j.ccl.2014.04.001

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

Diabetes mellitus (DM) is a major risk factor for cardiovascular disease. Near-normal glycemic control does not reduce cardiovascular events. For many patients with 1- or 2-vessel coronary artery disease, there is little benefit from any revascularization procedure over optimal medical therapy. For multivessel coronary disease, randomized trials demonstrated the superiority of coronary artery bypass grafting over multivessel percutaneous coronary intervention in patients with treated DM. However, selection of the optimal myocardial revascularization strategy requires a multidisciplinary team approach ('heart team'). This review summarizes the current evidence regarding the effectiveness of various medical therapies and revascularization strategies in patients with DM.

引用

页码：439 / +

页数：18

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