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Coronary stent implantation in diabetic versus nondiabetic patients. Early and late outcomes

D M Bayerl1, E Siqueira, I Moscoso

  • 1Hospital São Joaquim da Real e Benemérita Sociedade Portuguesa de Beneficência, São Paulo, SP, Brazil.

Arquivos Brasileiros De Cardiologia
|November 18, 2000
PubMed

Insights

Coronary stenting is effective for diabetic patients, showing similar success rates to non-diabetics. However, diabetics experienced more in-hospital heart attacks and required more revascularization procedures.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Diabetology

Background:

  • Coronary heart disease (CHD) affects both diabetic and non-diabetic populations.
  • Coronary stenting is a common intervention for CHD.
  • Assessing outcomes in diabetic patients undergoing stenting is crucial for personalized treatment.

Purpose of the Study:

  • To compare in-hospital results and clinical outcomes of coronary stenting between diabetic and non-diabetic patients.
  • To evaluate the efficacy and safety of coronary stent implantation in patients with and without diabetes.

Main Methods:

  • Retrospective analysis of 386 patients with CHD undergoing coronary stent implantation from July 1997 to April 1999.
  • Patients were divided into diabetic (n=81) and non-diabetic (n=305) groups.
  • Comparison of in-hospital complications and long-term clinical evolution.

Main Results:

  • Similar angiographic success rates were observed: 96.6% in diabetics vs. 97.9% in non-diabetics (p=ns).
  • Diabetic patients had a significantly higher rate of in-hospital myocardial infarction (7.4% vs. 1.9%, p=0.022).
  • Follow-up showed similar rates of asymptomatic patients, myocardial infarction, and death, but a greater need for revascularization in diabetics (15% vs. 2.4%, p<0.001).

Conclusions:

  • Coronary stenting is an efficient procedure for diabetic patients, yielding high angiographic and clinical success rates comparable to non-diabetics.
  • Diabetic patients undergoing coronary stenting face increased risks of in-hospital myocardial infarction and a higher likelihood of requiring repeat revascularization.
Abstract

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