How Is Peripheral Artery Disease Related To Diabetes?

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Coronary Artery Surgery In Diabetic Patients

Article INTRODUCTION Diabetes mellitus (DM) is a disease closely related with ischemic heart disease (IHD). This metabolic disorder facilitates the development of coronary atherosclerosis, the frequency and severity of which usually increases with the severity of DM. Due to this relation, coronary accidents are the main cause of death in diabetic patients and more serious clinical manifestations of IHD, like acute coronary syndrome and AMI, are up to three times more frequent in diabetics than in non-diabetics. In addition, they have a greater mortality.1,2 In patients with type 1 DM, the mortality due to coronary causes is 3 to 10 times more frequent than in the normal population and 2 to 4 times more frequent than in patients with type 2 DM.3-6 Also, DM is associated with more morbidity and mortality and less favorable results in the intermediate-to-long term after coronary revascularization, whether carried out surgically or by means of percutaneous techniques. Nevertheless, several prospective studies have demonstrated that, when indicated, surgical revascularization provides better clinical results in terms of survival and quality of life than medical treatment or percutaneous Continue reading >>

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