| Surgical or interventional revascularization in diabetic patients with coronary artery disease? | |
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MedLine Citation:
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PMID: 20879974 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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The combination of diabetes mellitus and coronary artery disease (CAD) constitutes an aggressive disease characterized biologically by chronic inflammatory, proliferative and pro-thrombotic situation. In the "diabetic patient" the increased frequency and gravity of simultaneous myocardial infarction and the deterioration of congestive heart failure contribute to the inevitable unfavourable final result. Diabetes accelerates the natural course of atherosclerosis and involves a great number of coronary vessels with more diffuse atherosclerotic lesions. Moreover, the risks of plaque ulceration and thrombosis have been shown to be considerably higher in diabetic patients. The treatment should be also aggressive and be based on the combined treatment of CAD and the effective regulation of glucose levels. The decision of revascularization in the diabetic patient should be posed relatively earlier. The surgical choice of revascularization seems to be advantageous over the interventional, with better early and late results. |
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Authors:
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E Apostolakis; I Koniari; D Velissaris; Efstratios N Koletsis |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Current diabetes reviews Volume: 6 ISSN: 1875-6417 ISO Abbreviation: Curr Diabetes Rev Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-11-15 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101253260 Medline TA: Curr Diabetes Rev Country: United Arab Emirates |
Other Details:
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Languages: eng Pagination: 359-66 Citation Subset: IM |
Affiliation:
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Department of Cardiothoracic Surgery, Department of Anaesthesiology and ICU, University of Patras, Patras, Greece. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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