[Patient with diabetes and chronic ischemic heart disease. Myocardial revascularization, how to do it?].

Abstract

Diabetes is one of the reasons for major concerns when managing patients with acute or chronic ischemic heart disease. The presence of diabetes poses specific issues with respect to outcome and treatment options, leading to worse prognosis. The role of myocardial revascularization in the management of chronic ischemic heart disease is a matter of debate, largely due to some clinical studies that failed to demonstrate it's superiority. Following the BARI-2D trial, coronary artery bypass surgery has gained some advantage over coronary angioplasty in diabetic patients with multivessel disease. This advantage was recently consolidated in the FREEDOM trial, which showed significantly better outcomes at five year follow up.

• Authors: João Morais
• Journal: Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology (Rev Port Cardiol) Vol. 32 Suppl 1 Pg. 49-53 (Apr 2013) ISSN: 2174-2030 [Electronic] Portugal
• Vernacular Title: O doente diabético com doença coronária crónica. Como revascularizar?
• PMID: 23721980 (Publication Type: English Abstract, Journal Article)
• Copyright: Copyright © 2013 Sociedade Portuguesa de Cardiologia. Published by Elsevier España. All rights reserved.

Topics

• Chronic Disease
• Diabetes Complications (surgery)
• Humans
• Myocardial Ischemia (complications, surgery)
• Myocardial Revascularization (methods)