Diabetes & vascular disease research最新文献

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MicroRNA-451a downregulation in liraglutide-treated individuals with diabetes: A potential cardiovascular protective mechanism. 利拉鲁肽治疗糖尿病患者体内的微RNA-451a下调:一种潜在的心血管保护机制
Diabetes & vascular disease research Pub Date : 2024-09-01 DOI: 10.1177/14791641241278527
Surachai Kongrat, Titiwat Sungkaworn, Chatchai Muanprasat, Chutintorn Sriphrapradang, Teerapat Yingchoncharoen
{"title":"MicroRNA-451a downregulation in liraglutide-treated individuals with diabetes: A potential cardiovascular protective mechanism.","authors":"Surachai Kongrat, Titiwat Sungkaworn, Chatchai Muanprasat, Chutintorn Sriphrapradang, Teerapat Yingchoncharoen","doi":"10.1177/14791641241278527","DOIUrl":"10.1177/14791641241278527","url":null,"abstract":"","PeriodicalId":93978,"journal":{"name":"Diabetes & vascular disease research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11437537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Five-year outcomes of patients with diabetes mellitus treated with a sirolimus-eluting or a biolimus-eluting stents with biodegradable polymer. From the SORT OUT VII trial. 使用西罗莫司洗脱支架或生物可降解聚合物的比奥利莫司洗脱支架治疗糖尿病患者的五年疗效。来自 SORT OUT VII 试验。
Diabetes & vascular disease research Pub Date : 2024-09-01 DOI: 10.1177/14791641241283939
Jens Trøan, Evald Høj Christiansen, Kirstine Nørregaard Hansen, Ashkan Eftekhari, Lars Jakobsen, Michael Mæng, Phillip Freeman, Rebekka Vibjerg Jensen, Martin Kirk Christensen, Manijeh Noori, Julia Ellert-Gregersen, Nicolaj Brejnholt Støttrup, Johnny Kahlert, Karsten Tange Veien, Lisette Okkels Jensen
{"title":"Five-year outcomes of patients with diabetes mellitus treated with a sirolimus-eluting or a biolimus-eluting stents with biodegradable polymer. From the SORT OUT VII trial.","authors":"Jens Trøan, Evald Høj Christiansen, Kirstine Nørregaard Hansen, Ashkan Eftekhari, Lars Jakobsen, Michael Mæng, Phillip Freeman, Rebekka Vibjerg Jensen, Martin Kirk Christensen, Manijeh Noori, Julia Ellert-Gregersen, Nicolaj Brejnholt Støttrup, Johnny Kahlert, Karsten Tange Veien, Lisette Okkels Jensen","doi":"10.1177/14791641241283939","DOIUrl":"10.1177/14791641241283939","url":null,"abstract":"<p><strong>Background: </strong>Diabetes mellitus is associated with higher risk of target lesion failure (TLF) after percutaneous coronary intervention. We studied the 5-year outcome in patients with diabetes mellitus treated with biodegradable polymer stents.</p><p><strong>Methods: </strong>The SORT OUT VII was a randomised trial comparing the ultrathin sirolimus-eluting Orsiro stent (O-SES) and the biolimus-eluting Nobori stent (N-BES) in an all-comer setting. Patients (<i>n</i> = 2525) were randomised to receive O-SES (<i>n</i> = 1261, diabetes: <i>n</i> = 236) or N-BES (<i>n</i> = 1264, diabetes: <i>n</i> = 235). Endpoints were TLF (a composite of cardiac death, target-lesion myocardial infarction (MI), target lesion revascularization (TLR)), definite stent thrombosis and a patient related outcome (all-cause mortality, MI and revascularization) within 5 years.</p><p><strong>Results: </strong>Patients with diabetes mellitus had higher TLF (20.6% vs 11.0%, (Rate ratio (RR) 1.85 95% confidence interval (CI): (1.42-2.40) and patient related outcome (42.0% vs 31.0%, RR 1.43 95% CI: (1.19-1.71)) compared to patients without diabetes. Among patients with diabetes mellitus, TLF after 5 years did not differ between O-SES and N-BES (21.2% vs 20.0%), RR 1.05 95% CI: (0.70-1.58), <i>p</i> = 0.81). Cardiac death, MI, TLR, and definite stent thrombosis did not differ between the groups.</p><p><strong>Conclusion: </strong>In patients with diabetes mellitus, 5-year outcomes were similar among patients treated with biodegradable polymer O-SES or N-BES.</p><p><strong>Clinical trial registration: </strong>URL: https://www.clinicaltrials.gov. Unique identifier: NCT01879358.</p>","PeriodicalId":93978,"journal":{"name":"Diabetes & vascular disease research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11450620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142304551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of serum syndecan-1 concentrations with albuminuria in type 2 diabetes. 2 型糖尿病患者血清辛迪加-1 浓度与白蛋白尿的关系。
Diabetes & vascular disease research Pub Date : 2024-07-01 DOI: 10.1177/14791641241278362
Yoshinori Kakutani, Tomoaki Morioka, Yuko Yamazaki, Akinobu Ochi, Shinya Fukumoto, Tetsuo Shoji, Masanori Emoto
{"title":"Association of serum syndecan-1 concentrations with albuminuria in type 2 diabetes.","authors":"Yoshinori Kakutani, Tomoaki Morioka, Yuko Yamazaki, Akinobu Ochi, Shinya Fukumoto, Tetsuo Shoji, Masanori Emoto","doi":"10.1177/14791641241278362","DOIUrl":"10.1177/14791641241278362","url":null,"abstract":"<p><strong>Introduction: </strong>Syndecan (SDC)-1 is a transmembrane heparan sulfate proteoglycan and is a major component of endothelial glycocalyx (EG). This study aimed to investigate the association of serum SDC-1 concentration as a marker of EG degradation with albuminuria in type 2 diabetes.</p><p><strong>Methods: </strong>We included 370 patients with type 2 diabetes and 219 individuals with no diabetes. The individuals with estimate glomerular filtration rate <30 mL/min/1.73 m<sup>2</sup> were excluded.</p><p><strong>Results: </strong>Serum SDC-1 concentration was higher in type 2 diabetes than in no diabetes. The presence of diabetes was independently associated with log [SDC-1] in multivariate analysis. In type 2 diabetes, serum SDC-1 concentration was correlated with log [urinary albumin-to-creatinine ratio (ACR)]. Moreover, log [SDC-1] was an independent determinant of log [ACR] after adjustment for known risk factors of albuminuria.</p><p><strong>Conclusions: </strong>Serum SDC-1 concentration was higher in patients with type 2 diabetes compared to individuals with no diabetes and an independent determinant of ACR. This study implicates the role of the EG degradation in albuminuria in type 2 diabetes.</p>","PeriodicalId":93978,"journal":{"name":"Diabetes & vascular disease research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11331450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patient-important outcomes in type 2 diabetes: The paradigm of the sodium-glucose cotransporter-2 inhibitors and glucagon-like peptide-1 receptor agonists. 2 型糖尿病患者的重要疗效:钠-葡萄糖共转运体-2 抑制剂和胰高血糖素样肽-1 受体激动剂的范例。
Diabetes & vascular disease research Pub Date : 2024-07-01 DOI: 10.1177/14791641241269743
Kyriakos Kintzoglanakis, Christos Diamantis, Anargiros Mariolis, Stavroula A Paschou
{"title":"Patient-important outcomes in type 2 diabetes: The paradigm of the sodium-glucose cotransporter-2 inhibitors and glucagon-like peptide-1 receptor agonists.","authors":"Kyriakos Kintzoglanakis, Christos Diamantis, Anargiros Mariolis, Stavroula A Paschou","doi":"10.1177/14791641241269743","DOIUrl":"10.1177/14791641241269743","url":null,"abstract":"<p><p>The newfound knowledge in type 2 diabetes (T2D) during the past decade for the sodium-glucose cotransporter-2 inhibitors (SGLT-2i) and glucagon-like peptide-1 receptor agonists (GLP-1RA) is wealthy in favorable results for key patient-important outcomes including morbidity, mortality and health-related quality of life (HRQoL). The SGLT-2i and GLP-1RA offer cardiovascular and renal protection beyond their glucose lowering effect, reduce body weight and hypoglycemia and improve diabetes-related distress, physical function and HRQoL. Along with the fixed-ratio combinations of basal insulin/GLP-1RA, they make feasible a regimen simplification and de-escalation from high dose and multiple injections of insulin reducing treatment burden. Besides cardiorenal risk reduction, the SGLT-2i and GLP-1RA reduce the incidence of depression, cognitive decline, respiratory disease, gout, arrhythmias and other co-occurring conditions of T2D, namely multimorbidity, which frequently complicates T2D and adversely affects HRQoL. The alleviation of multimorbidity by the pleiotropic effects of the SGLT-2i and GLP-1RA, could improve patients' HRQoL. The use of the SGLT-2i and GLP-1RA should be increased within a shared decision-making in which they are reframed as cardiorenal risk-reducing medications with the potential to lower blood glucose. By improving outcomes that patients may highly perceive and value, the SGLT-2i and GLP-1RA may facilitate the contemporary person-centered management of T2D.</p>","PeriodicalId":93978,"journal":{"name":"Diabetes & vascular disease research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11325323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence and risk factors of retinal vein occlusion in individuals with diabetes: The kailuan eye study. 糖尿病患者视网膜静脉闭塞的患病率和风险因素:开滦眼科研究。
Diabetes & vascular disease research Pub Date : 2024-07-01 DOI: 10.1177/14791641241271899
Yao Yao, Qian Wang, Jingyan Yang, Yanni Yan, Wenbin Wei
{"title":"Prevalence and risk factors of retinal vein occlusion in individuals with diabetes: The kailuan eye study.","authors":"Yao Yao, Qian Wang, Jingyan Yang, Yanni Yan, Wenbin Wei","doi":"10.1177/14791641241271899","DOIUrl":"10.1177/14791641241271899","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to analyze the incidence of retinal vein occlusion (RVO) in patients with and without diabetes in the population and compare the influencing factors.</p><p><strong>Method: </strong>The community-based Kailuan Eye Study included 14,440 participants (9835 male, 4605 female) with a mean age of 54.0 ± 13.3 years (range, 20-110 years). They underwent a systemic and ophthalmologic examination. RVO were diagnosed on fundus photographs.</p><p><strong>Result: </strong>By matching for age and gender, we included a total of 2767 patients each with diabetes and non-diabetes. The prevalence of RVO among patients with and without diabetes was 1.5% and 0.8%, respectively. The prevalence of RVO was higher in patients with diabetes than in patients without diabetes in all age groups. Multifactorial regression analysis showed that only fasting blood glucose levels were significantly different between patients with RVO with or without DM. The occurrence of RVO in the group with diabetes was mainly associated with higher fasting glucose and systolic blood pressure; in the group without diabetes, RVO was mainly associated with higher diastolic blood pressure, Body Mass Index, and lower low-density lipoprotein cholesterol levels.</p><p><strong>Conclusion: </strong>We found that patients with diabetes have increased risks of RVO. In addition to blood pressure control, we recommend educating patients with diabetes about RVO, to prevent its subsequent occurrence.</p>","PeriodicalId":93978,"journal":{"name":"Diabetes & vascular disease research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11304485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141895071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Severe hypoglycaemia-induced microglial inflammation damages microvascular endothelial cells, leading to retinal destruction. 严重低血糖诱发的小胶质细胞炎症会损害微血管内皮细胞,导致视网膜破坏。
Diabetes & vascular disease research Pub Date : 2024-07-01 DOI: 10.1177/14791641241278506
Yuxin Hu, Zhen Li, Hongxue Li, Qian Xu, Chengye Xu, Wenjian Lin, Xuefei Ma, Ming Hao, Hongyu Kuang
{"title":"Severe hypoglycaemia-induced microglial inflammation damages microvascular endothelial cells, leading to retinal destruction.","authors":"Yuxin Hu, Zhen Li, Hongxue Li, Qian Xu, Chengye Xu, Wenjian Lin, Xuefei Ma, Ming Hao, Hongyu Kuang","doi":"10.1177/14791641241278506","DOIUrl":"10.1177/14791641241278506","url":null,"abstract":"<p><p>Human microglia (HMC) are stress-induced inflammatory cells of the retina. It is unknown whether severe hypoglycaemia causes inflammation in microglia, affects the permeability of human retinal microvascular endothelial cells (HRMECs), and causes retinal damage. This study aimed to explore the effects of severe hypoglycaemia on retinal microglial inflammation and endothelial cell permeability and evaluate the damage caused by hypoglycaemia to the retina. The CCK-8 assay was used to measure cell viability. Western blotting was used to detect IL-1β, IL-6, TNF- α, claudin-1, and occludin expression. ELISA was used to detect IL-1β, IL-6, and TNF- α. Transmission electron microscopy (TEM) and haematoxylin and eosin staining were used to observe the retinal structure. Immunohistochemistry and immunofluorescence staining assays were also used to detect IL-1β, IL-6, TNF- α, claudin-1, and occludin expression. Severe hypoglycaemia promoted inflammation in HMC3 cells. Inflammation caused by hypoglycaemia leads to the decreased expression of tight junction proteins. In vivo, severe hypoglycaemia induced structural damage to the retina, increased the expression of inflammatory factors, and decreased the expression of tight junction proteins. Our results suggest that severe hypoglycaemia leads to acute retinal inflammation, affecting the permeability of HRMECs and causing retinal damage.</p>","PeriodicalId":93978,"journal":{"name":"Diabetes & vascular disease research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11348349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The correlations between angiopoietin like 8 and cardiometabolic risk factors in Saudi women with type 2 diabetes mellitus: A pilot study. 沙特女性 2 型糖尿病患者血管生成素 8 与心脏代谢风险因素之间的相关性:一项试点研究。
Diabetes & vascular disease research Pub Date : 2024-05-01 DOI: 10.1177/14791641241259792
Walaa Mohammedsaeed, Dalal Binjawhar
{"title":"The correlations between angiopoietin like 8 and cardiometabolic risk factors in Saudi women with type 2 diabetes mellitus: A pilot study.","authors":"Walaa Mohammedsaeed, Dalal Binjawhar","doi":"10.1177/14791641241259792","DOIUrl":"10.1177/14791641241259792","url":null,"abstract":"<p><strong>Purpose: </strong>This study examines whether Angiopoietin Like 8 (ANGPTL8) is linked to cardiometabolic risk factors (CMRFs) in Saudi women with type 2 diabetes (T2DM).</p><p><strong>Methods: </strong>Case-control investigation compared 150 women aged 30-60 with T2DM to 140 healthy women of the same age and gender.</p><p><strong>Results: </strong>ANGPTL8 levels differed significantly between T2DM and non-diabetics. Fasting blood glucose (FBG), insulin resistance (IR), triglycerides (TG), high-sensitivity C-reactive protein (hs-CRP), body mass index (BMI), and atherogenic index (AIP) of plasma all correlated positively with ANGPTL8 concentrations. Insulin levels correlated negatively with ANGPTL8. Multiple linear regression models showed that elevated ANGPTL8 independently predicted higher FBG, hs-CRP, IR, TG, and AIP in T2DM patients.</p><p><strong>Conclusion: </strong>The study found a significant association between ANGPTL8 levels and IR, hs-CRP, TG, AIP, and BMI in women with T2DM. These components are classified as CMRFs and have the potential to contribute to the development of cardiovascular disease (CVD).</p>","PeriodicalId":93978,"journal":{"name":"Diabetes & vascular disease research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11159548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interactions between physical activity and psychological factors in the association with the risk of lean type 2 diabetes mellitus. 体育锻炼与心理因素之间的相互作用与罹患瘦型 2 型糖尿病的风险之间的关系。
Diabetes & vascular disease research Pub Date : 2024-05-01 DOI: 10.1177/14791641241239618
Inkyung Baik
{"title":"Interactions between physical activity and psychological factors in the association with the risk of lean type 2 diabetes mellitus.","authors":"Inkyung Baik","doi":"10.1177/14791641241239618","DOIUrl":"10.1177/14791641241239618","url":null,"abstract":"<p><p><b>Background:</b> The extent to which physical activity and psychological factors may affect the risk of diabetes mellitus among lean individuals remains unclear.<b>Purpose:</b> This study aimed to investigate the associations of total physical activity (TPA) and psychological factors with lean type 2 diabetes mellitus (T2DM) risk.<b>Research Design:</b> A prospective cohort study.<b>Study Sample:</b> The study population included 1,945 Korean adults who maintained a body mass index <23 kg/m<sup>2</sup>.<b>Data Collection and Analysis:</b> Baseline data on TPA and psychological factors were collected and T2DM incidence was assessed for 10 years. For analysis, a multivariable Cox proportional hazards regression model was used.<b>Results:</b> TPA was inversely associated with T2DM risk and this association was more pronounced in participants who were depressed or distressed; the top TPA quartile exhibited significant reductions in T2DM risk of 66% (95% confidence interval [CI]: 0.15, 0.78) and 65% (95% CI: 0.14, 0.88) among participants who reported depressed mood and those who perceived high distress, respectively, compared with the bottom TPA quartile.<b>Conclusions:</b> The current study demonstrated the preventive effects of physical activity on T2DM in lean adults through its interaction with psychological factors.</p>","PeriodicalId":93978,"journal":{"name":"Diabetes & vascular disease research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11127574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141094267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Use of flash glucose monitoring is associated with HbA1c reduction in type 2 diabetes managed with basal insulin in Canada: A real-world prospective observational study. 加拿大使用基础胰岛素治疗的 2 型糖尿病患者使用闪存葡萄糖监测与 HbA1c 降低有关:一项真实世界前瞻性观察研究。
Diabetes & vascular disease research Pub Date : 2024-05-01 DOI: 10.1177/14791641241253967
Alexander Abitbol, Akshay B Jain, Michael A Tsoukas, John Sigalas, Brandon P Galm, Jooho Lee, Kamran S Qureshy, Caitlyn Collins, Vincent C Woo
{"title":"Use of flash glucose monitoring is associated with HbA1c reduction in type 2 diabetes managed with basal insulin in Canada: A real-world prospective observational study.","authors":"Alexander Abitbol, Akshay B Jain, Michael A Tsoukas, John Sigalas, Brandon P Galm, Jooho Lee, Kamran S Qureshy, Caitlyn Collins, Vincent C Woo","doi":"10.1177/14791641241253967","DOIUrl":"10.1177/14791641241253967","url":null,"abstract":"","PeriodicalId":93978,"journal":{"name":"Diabetes & vascular disease research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11088803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140909504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PCI vs. CABG in left main with multi-vessel coronary artery disease and diabetes: Case report. 多支血管冠状动脉疾病合并糖尿病的左主干PCI与CABG:病例报告。
Diabetes & vascular disease research Pub Date : 2024-05-01 DOI: 10.1177/14791641241253540
Michael Sabina, Aqeel Khanani, Amanda Rigdon, Joshua Tsai, Joseph Massaro
{"title":"PCI vs. CABG in left main with multi-vessel coronary artery disease and diabetes: Case report.","authors":"Michael Sabina, Aqeel Khanani, Amanda Rigdon, Joshua Tsai, Joseph Massaro","doi":"10.1177/14791641241253540","DOIUrl":"10.1177/14791641241253540","url":null,"abstract":"<p><p>This case challenges the conventional preference for coronary artery bypass grafting (CABG) over percutaneous coronary intervention (PCI) in patients with diabetes, left main coronary artery disease (LMCAD) and multivessel disease. Current guidelines generally recommend CABG, especially in the context of LMCAD. However, our case involves a male patient with diabetes with LMCAD and extensive multivessel disease who was successfully treated with PCI, demonstrating a favorable outcome. Despite the high-risk profile, including a SYNTAX score of 28, the PCI approach was selected. This decision was supported by evidence suggesting comparable outcomes between PCI and CABG in similar patients. Our case highlights the potential of PCI as not just a viable, but potentially superior alternative in specific high-risk patients with diabetes, contrary to the prevailing belief in favor of CABG for all patients with left main involvement.</p>","PeriodicalId":93978,"journal":{"name":"Diabetes & vascular disease research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11075603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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