Clinical and angiographic profile of the diabetic patient: one-year follow-up.
Diabetes mellitus is associated with significant cardiovascular morbidity and mortality. The authors describe the clinical and angiographic profile of a diabetic population undergoing percutaneous coronary intervention, with one-year follow-up.


METHODS
We retrospectively studied 769 patients (241 diabetic [D] and 528 nondiabetic [ND]) in terms of clinical and demographic characteristics, angiography and angioplasty data, and medical therapy, and analyzed the composite endpoint of adverse cardiac events at one month and one year.


RESULTS
Women, older mean age, hypertension, dyslipidemia, previous stroke and renal insufficiency were more prevalent in the D group. It also had more patients with left ventricular dysfunction, multivessel disease and complex coronary lesions. A significantly higher number of stents per patient and more drug-eluting stents were implanted in this group. Occurrence of the composite endpoint at one-year follow-up was significantly higher in diabetic patients (D = 23.6% vs. ND = 15.9%; p = 0.012), and one-year total mortality was 5.8% in the D group vs. 2.3% in the ND group (p = 0.012).


CONCLUSIONS
Even with aggressive percutaneous and pharmacological management, diabetes mellitus still has an adverse long-term prognosis.
Serrão
Marco
M
Departamento de Cardiologia Médico-Cirúrgica, Hospital Central do Funchal, Funchal, Portugal. serrao.marco@gmail.com
Pereira
Andreia
A
Santos
Nuno
N
Silva
Bruno
B
Caires
Graça
G
Freitas
Drumond
D
Pereira
Décio
D
Araújo
Jorge
J
Cardoso
Almada
A
D000792:Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging* / Q000628:therapy*; D003925:Diabetic Angiopathies / Q000000981:diagnostic imaging* / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013997:Time Factors