EDITORIAL COMMENT Outcomes in Diabetics Undergoing Revascularization
نویسنده
چکیده
Diabetes mellitus, a major determinant of cardiovascular events, portends an adverse prognosis in patients with coronary artery disease regardless of treatment strategy. Among patients undergoing coronary revascularization procedures, the Bypass Angioplasty Revascularization Investigation (BARI) trial (1) demonstrated an unfavorable interaction between diabetes and an initial strategy of percutaneous transluminal coronary angioplasty (PTCA) in patients with multivessel disease requiring revascularization, with an increased all-cause mortality of 34.7% at five years in the PTCA group. However, even with coronary artery bypass graft surgery (CABG), mortality was 19.1% at five years, still greater than the 9.5% and 10.3% five-year mortality rates for PTCA and CABG, respectively, in nondiabetics. Although this finding of inferior outcome
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