Sobrevida de pacientes diabéticos con enfermedad coronaria conocida

Background : The risk of cardiovascular diseases is two to four times higher in diabetic patients. Aim: To study the severity of coronary disease and survival of patients with diabetes mellitus, compared to matched controls without diabetes. Patients and methods: A retrospective review of all corona...

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Autores principales:	Gajardo N,Jorge, Olmos C,Alfonso, Seguel F,Iván, Saldaña V,Alvaro, Román L,Luchbaska, Naveas,Rina, Verdugo B,Paulina
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2004
Materias:	Coronary disease Diabetic angiopathies Diabetes Mellitus
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000300008
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spelling	oai:scielo:S0034-988720040003000082004-12-13Sobrevida de pacientes diabéticos con enfermedad coronaria conocidaGajardo N,JorgeOlmos C,AlfonsoSeguel F,IvánSaldaña V,AlvaroRomán L,LuchbaskaNaveas,RinaVerdugo B,Paulina Coronary disease Diabetic angiopathies Diabetes Mellitus Background : The risk of cardiovascular diseases is two to four times higher in diabetic patients. Aim: To study the severity of coronary disease and survival of patients with diabetes mellitus, compared to matched controls without diabetes. Patients and methods: A retrospective review of all coronary angiographies performed at a private hospital. All diabetic patients with coronary lesions over 50% were considered as the index group. Non diabetic patients with coronary artery lesions over 50% and with similar demographic features and risk factors to the diabetic patients group, were studied as controls. A follow up was done reviewing clinical records and by telephone interviews. Mortality was obtained reviewing death certificates. Results: Seventy seven diabetic patients (48 male, mean age 61±10 years and 129 non diabetic subjets (87 males, eman age 61±10 years) were studied. Mean follow up in diabetic and non diabetic patients was 1,270 and 1,340 days respectively. Diabetic patients had a higher frequency of multiple vessel disease than their non diabetic counterparts (69 and 52% respectively, p <0.003). Ejection fraction was 61 and 65% in diabetics and non diabetics. General mortality was 15.5 and 2.3% in diabetics and non diabetic respectively (p <0.01). Cardiovascular mortality was 9.1 and 0.8% in diabetics and non diabetics respectively (p 0.002). Conclusions: Diabetic patients with coronary artery disease have a lower survival and more extensive coronary artery lesions than non diabetic patients with similar age, sex and overall coronary risk (Rev Méd Chile 2004; 132: 331-6).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.132 n.3 20042004-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000300008es10.4067/S0034-98872004000300008
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Coronary disease Diabetic angiopathies Diabetes Mellitus
spellingShingle	Coronary disease Diabetic angiopathies Diabetes Mellitus Gajardo N,Jorge Olmos C,Alfonso Seguel F,Iván Saldaña V,Alvaro Román L,Luchbaska Naveas,Rina Verdugo B,Paulina Sobrevida de pacientes diabéticos con enfermedad coronaria conocida
description	Background : The risk of cardiovascular diseases is two to four times higher in diabetic patients. Aim: To study the severity of coronary disease and survival of patients with diabetes mellitus, compared to matched controls without diabetes. Patients and methods: A retrospective review of all coronary angiographies performed at a private hospital. All diabetic patients with coronary lesions over 50% were considered as the index group. Non diabetic patients with coronary artery lesions over 50% and with similar demographic features and risk factors to the diabetic patients group, were studied as controls. A follow up was done reviewing clinical records and by telephone interviews. Mortality was obtained reviewing death certificates. Results: Seventy seven diabetic patients (48 male, mean age 61±10 years and 129 non diabetic subjets (87 males, eman age 61±10 years) were studied. Mean follow up in diabetic and non diabetic patients was 1,270 and 1,340 days respectively. Diabetic patients had a higher frequency of multiple vessel disease than their non diabetic counterparts (69 and 52% respectively, p <0.003). Ejection fraction was 61 and 65% in diabetics and non diabetics. General mortality was 15.5 and 2.3% in diabetics and non diabetic respectively (p <0.01). Cardiovascular mortality was 9.1 and 0.8% in diabetics and non diabetics respectively (p 0.002). Conclusions: Diabetic patients with coronary artery disease have a lower survival and more extensive coronary artery lesions than non diabetic patients with similar age, sex and overall coronary risk (Rev Méd Chile 2004; 132: 331-6).
author	Gajardo N,Jorge Olmos C,Alfonso Seguel F,Iván Saldaña V,Alvaro Román L,Luchbaska Naveas,Rina Verdugo B,Paulina
author_facet	Gajardo N,Jorge Olmos C,Alfonso Seguel F,Iván Saldaña V,Alvaro Román L,Luchbaska Naveas,Rina Verdugo B,Paulina
author_sort	Gajardo N,Jorge
title	Sobrevida de pacientes diabéticos con enfermedad coronaria conocida
title_short	Sobrevida de pacientes diabéticos con enfermedad coronaria conocida
title_full	Sobrevida de pacientes diabéticos con enfermedad coronaria conocida
title_fullStr	Sobrevida de pacientes diabéticos con enfermedad coronaria conocida
title_full_unstemmed	Sobrevida de pacientes diabéticos con enfermedad coronaria conocida
title_sort	sobrevida de pacientes diabéticos con enfermedad coronaria conocida
publisher	Sociedad Médica de Santiago
publishDate	2004
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000300008
work_keys_str_mv	AT gajardonjorge sobrevidadepacientesdiabeticosconenfermedadcoronariaconocida AT olmoscalfonso sobrevidadepacientesdiabeticosconenfermedadcoronariaconocida AT seguelfivan sobrevidadepacientesdiabeticosconenfermedadcoronariaconocida AT saldanavalvaro sobrevidadepacientesdiabeticosconenfermedadcoronariaconocida AT romanlluchbaska sobrevidadepacientesdiabeticosconenfermedadcoronariaconocida AT naveasrina sobrevidadepacientesdiabeticosconenfermedadcoronariaconocida AT verdugobpaulina sobrevidadepacientesdiabeticosconenfermedadcoronariaconocida
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Sobrevida de pacientes diabéticos con enfermedad coronaria conocida

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