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[Comparative Study Of Coronary Artery Disease In Diabetics And Non-Diabetics In The Department Of Cardiology Of

M Dioum1, N Youm2, N D Gaye3

  • 1Travail de la Clinique Cardiologique CHU Fann Dakar - UCAD/FMPOS.

Le Mali Medical
|August 7, 2018
PubMed

Insights

Diabetic patients with coronary artery disease often experience silent ischemia and multi-vessel disease, requiring more bypass grafting surgery compared to non-diabetics.

Area of Science:

  • Cardiology
  • Diabetology
  • Vascular Medicine

Context:

  • Coronary artery disease (CAD) presents differently in diabetic versus non-diabetic populations.
  • Understanding these differences is crucial for effective patient management and treatment strategies.

Purpose:

  • To compare the clinical features and angiographic findings of coronary artery disease in diabetic and non-diabetic patients.
  • To identify specific patterns of CAD presentation and treatment indications in individuals with diabetes.

Summary:

  • A case-control study included 45 diabetic and 45 non-diabetic patients undergoing coronary angiography/angioplasty.
  • Diabetic patients showed a higher prevalence of silent ischemia (48.9%) and triple-vessel disease (26.7%) compared to non-diabetics.
  • Coronary artery bypass grafting was more frequently indicated in diabetic patients (9 vs. 3).

Impact:

  • This study highlights the distinct manifestations of CAD in diabetic individuals, emphasizing silent ischemia and multi-vessel involvement.
  • Findings suggest a need for tailored diagnostic and therapeutic approaches for diabetic patients with coronary artery disease.

Keywords:
Coronary artery bypass graftingDiabetesDiabèteIschémie silencieusePontage coronaireSilent ischemiaTri tronculaireTriple-vessel disease

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