作者
Eduardo Gomes Lima, Whady Hueb, Rosa Maria Rahmi Garcia, Alexandre Costa Pereira, Paulo Rogerio Soares, Desiderio Favarato, Cibele Larrosa Garzillo, Ricardo D’Oliveira Vieira, Paulo Cury Rezende, Myrthes Takiuti, Priscyla Girardi, Alexandre Ciappina Hueb, José AF Ramires, Roberto Kalil Filho
发表日期
2013/8/1
期刊
American heart journal
卷号
166
期号
2
页码范围
250-257
出版商
Mosby
简介
Introduction
Diabetes mellitus is a major cause of coronary artery disease (CAD). Despite improvement in the management of patients with stable CAD, diabetes remains a major cause of increased morbidity and mortality. There is no conclusive evidence that either modality is better than medical therapy alone for the treatment of stable multivessel CAD in patients with diabetes in a very long-term follow-up. Our aim was to compare 3 therapeutic strategies for stable multivessel CAD in a diabetic population and non-diabetic population.
Methods
It was compared medical therapy (MT), percutaneous coronary intervention (PCI), and coronary artery bypass graft (CABG) in 232 diabetic patients and 379 nondiabetic patients with multivessel CAD. Endpoints evaluated were overall and cardiac mortality.
Results
Patients (n = 611) were randomized to CABG (n = 203), PCI (n = 205), or MT (n = 203). In a 10-year follow-up, more …
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EG Lima, W Hueb, RMR Garcia, AC Pereira… - American heart journal, 2013
