Related Experiment Video

Updated: Feb 12, 2026

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

19.3K

Determining the Most Appropriate Mode of Coronary Artery Revascularisation in Patients With Diabetes

Ehrin J Armstrong1, Stephen W Waldo1

  • 1Veterans Affairs Eastern Colorado Healthcare System, University of Colorado, Denver, CO, USA.

Interventional Cardiology (London, England)
|March 29, 2018
PubMed

Insights

Diabetic patients with obstructive coronary artery disease face high mortality. This review examines current data on the best timing and methods for coronary artery revascularisation in this high-risk group.

Area of Science:

  • Cardiology
  • Diabetology
  • Vascular Medicine

Background:

  • Obstructive coronary artery disease (CAD) is a leading cause of death in patients with diabetes mellitus (DM).
  • The clinical outcomes of CAD significantly impact mortality in diabetic populations.
  • Extensive research has focused on revascularisation strategies for diabetic patients with CAD.

Purpose of the Study:

  • To review current evidence on coronary artery revascularisation in diabetic patients.
  • To identify optimal indications for revascularisation in this population.
  • To determine the best methods for coronary artery revascularisation in patients with DM.

Main Methods:

  • Systematic review of observational studies and randomised clinical trials.
  • Analysis of data concerning the timing of coronary artery revascularisation.
  • Evaluation of different modes of coronary artery revascularisation.

Main Results:

  • Data on the timing and mode of coronary artery revascularisation in diabetic patients were surveyed.
  • Current evidence regarding the indications for revascularisation was assessed.
  • Optimal methods for revascularisation in diabetic individuals were investigated.

Conclusions:

  • Diabetic patients with obstructive CAD require careful consideration for revascularisation.
  • Evidence synthesis is crucial for guiding clinical decisions on revascularisation timing and modality.
  • Further research may refine optimal revascularisation strategies for this vulnerable patient group.

Keywords:
Diabetescoronary artery bypass graftingcoronary artery diseasepercutaneous coronary intervention

More Related Videos

Ultrasound Based Assessment of Coronary Artery Flow and Coronary Flow Reserve Using the Pressure Overload Model in Mice06:39

Ultrasound Based Assessment of Coronary Artery Flow and Coronary Flow Reserve Using the Pressure Overload Model in Mice

Published on: April 13, 2015

15.7K
Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans04:40

Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans

Published on: August 28, 2018

16.1K

Related Concept Videos

Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
1.2K
Coronary Artery Disease II: Pathophysiology01:26

Coronary Artery Disease II: Pathophysiology

Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
519
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
302
Coronary Artery Disease III: Clinical Manifestations01:30

Coronary Artery Disease III: Clinical Manifestations

Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
422
Coronary Artery Disease IV: Preventive Measures01:26

Coronary Artery Disease IV: Preventive Measures

Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
734
What is a Mode?01:07

What is a Mode?

The mode is one of the commonly used measures of a central tendency. It is defined as the most frequent value in a data set.
There can be more than one mode in a data set if multiple values have the same highest frequency. For instance, suppose that the Statistics exam scores of 20 students are: 50; 53; 59; 59; 63; 63; 72; 72; 72; 72; 72; 76; 78; 81; 83; 84; 84; 84; 90; 93. Here, the mode is 72, as it occurs most frequently, five times.
A data set with two modes is called bimodal. For example,...
26.6K