Comparison of different multivessel revascularization methods in type 2 diabetes mellitus patients accom-panying with coronary artery disease
10.3760/cma.j.issn.1674-6090.2014.06.004
- VernacularTitle:2型糖尿病合并冠心病多支血管病变血运重建方式选择
- Author:
Hong ZHANG
;
Kai HOU
;
Hongliang CONG
;
Ximing LI
;
Zuocheng LI
- Publication Type:Journal Article
- Keywords:
Type 2 diabetes mellitus;
Coronary artery disease;
Coronary artery bypass graft;
Per-cutaneous coronary intervention;
Major adverse cardio cerebral events
- From:
Journal of Endocrine Surgery
2014;(6):452-455
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare two different revascularization methods in type 2 diabetes mellitus (T2DM) patients with multivessel coronary artery disease treated by percutaneous coronary intervention (PCI) and coronary artery bypass graft ( CABG) .Methods T2DM patients with multivessel disease undergoing success-ful PCI or CABG were enrolled in the study .They were diagnosed by coronary angiography ( CAG) in Tianjin Chest Hospital from May 2009 to May 2010 whose.The patients were followed up for 3 years.The information of patients including physical performance , clinical features , and laboratory examination results were collected .The major ad-verse cardio cerebral events(MACCE)including death, myocardial infarction(MI), revascularization, angina pecto-ris, heart failure, and stroke were collected.Results During the 3 years of follow-up, MACCE(31.58% vs 17.68%, P<0.01), death(4.82%vs 1.10%, P<0.05), MI(4.39%vs 1.10%, P<0.05), angina pectoris (17.27%vs 10.50%, P<0.05)occurred more frequently in PCI group than in CABG group .Conclusion Evi-dences now tend to support CABG for revascularization in T 2DM patients with multivessel disease .
