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Optimal treatment of the diabetic patient with multivessel disease

Sameer Bansilal1, Michael E Farkouh, Valentin Fuster

  • 1Zena and Michael A. Wiener Cardiovascular Institute, Marie-Josée and Henry R. Kravis Center for Cardiovascular Health, Mount Sinai School of Medicine, New York, NY 10029, USA.

Current Cardiology Reports
|July 10, 2008
PubMed

Insights

Diabetic cardiovascular disease management is complex. This review examines evidence for optimal revascularization and medical strategies in diabetic patients with multivessel coronary artery disease.

Area of Science:

  • Cardiology
  • Endocrinology
  • Vascular Medicine

Background:

  • Diabetes mellitus is a significant risk factor for cardiovascular morbidity and mortality.
  • Diabetic atherosclerosis often presents with complex manifestations like multivessel and diffuse coronary disease.
  • Optimal management of these patients presents unique challenges in revascularization and medical therapy selection.

Purpose of the Study:

  • To review current evidence on managing multivessel coronary disease in diabetic patients.
  • To discuss ongoing research informing revascularization and medical therapy decisions.
  • To provide insights into the intricate decision-making process for this patient population.

Main Methods:

  • Systematic review of accumulated evidence.
  • Analysis of ongoing clinical studies.
  • Expert discussion on therapeutic strategies.

Main Results:

  • Evidence synthesis on current treatment options.
  • Identification of knowledge gaps and future research directions.
  • Discussion of complex clinical scenarios in diabetic coronary artery disease.

Conclusions:

  • Optimal management requires careful consideration of revascularization and medical therapies.
  • Ongoing studies are crucial for refining treatment strategies.
  • Improved decision-making processes are needed for diabetic patients with complex coronary disease.

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