Vnitr Lek 2010, 56(4):320-323

Percutaneous coronary interventions in diabetic patients

J. Šťásek

I. interní klinika Lékařské fakulty UK a FN Hradec Králové, přednosta prof. MUDr. Jan Vojáček, DrSc., FESC, FACC

Diabetes mellitus (DM) is a serious medical problem. The patients with diabetes have higher risk of coronary artery diseases. Diabetes mellitus also increases the risk of complication resulting from revascularization treatment in compare with non-diabetic patients. The first studies, which compare the surgical and percutaneous revascularization proved, that the major difference between these two revascularization techniques is in patients with diabetes. The difference is inflected by necessity of repeated revascularization after PCI, which is caused by higher incidence of a restenosis in patients with DM. Mortality, myocardial infarction and stroke are more frequent in diabetic patients, but the difference between PCI and surgical treated groups is not significant. Though the restenosis had significantly decreased due to of drug-eluted stents, the surgical revascularization is preferred method of treatment in patients with insulin-dependent diabetes, poorly compensated diabetes and patients with multiple complex coronary disease.

Keywords: diabetes mellitus; percutaneous coronary revascularisation; aorto-coronary bypass; stent; drug-eluted stent

Received: February 7, 2010; Published: April 1, 2010  Show citation