[Does diabetes affect therapy in coronary patients? Revascularisation].
Techniques of myocardial revascularisation are very commonly employed in diabetic patients. In unstable angina, the reported data suggests a very significant benefit of an invasive strategy for the diabetic patient. In stable angina, subgroups analysis of randomised clinical trials carried out over ten years ago showed a better outcome after surgery in cases of multivessel disease. What has been the impact of technical advances archived since then? Active stents and antiplatelet drugs have considerably improved the outcome of diabetics treated by angioplasty. Cardiac surgery has also made considerable progress with the systematic use of arterial grafts. New randomised clinical trials are underway to determine the modern options of myocardial revascularisation for diabetic patients.
Bauters
Ch
Ch
Service de cardiologie C, Hôpital cardiologique, Lille. cbauters@chru-lille.fr
Van Belle
E
E
D003324:Coronary Artery Disease / Q000601:surgery*; D003925:Diabetic Angiopathies / Q000601:surgery*; D006801:Humans; D009204:Myocardial Revascularization