Abstracts

Health

Coronary heart disease in patients with diabetes

Article Abstract:

All diabetics should receive advice about reducing their risk factors for heart disease. Diabetics have 2 to 4 times the risk of developing coronary heart disease compared to non-diabetics. A study published in 2000 found that diabetics with heart disease who had coronary artery bypass surgery (CABG) had a lower risk of death after a heart attack than diabetics treated with angioplasty. However, it is difficult to determine if CABG is beneficial or angioplasty is harmful. More research can determine this but in the meantime, all diabetics could benefit from aggressive control of blood sugar and cardiovascular risk factors.

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Mortality from coronary heart disease in subjects with type 2 diabetes and in nondiabetic subjects with and without prior myocardial infarction

Article Abstract:

Diabetic patients who have never had a heart attack should be treated as aggressively as non-diabetic patients who have had a heart attack. This was the conclusion of a study that followed 1,059 diabetic patients and 1,373 non-diabetic patients for seven years. The diabetic patients who had never had a heart attack had as high a risk of having one as non-diabetic patients who already had one. Diabetics who had had a heart attack had an even higher risk of having another one.

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Optimal medical therapy with or without PCI for stable coronary disease

Article Abstract:

Trials conducted reveal that percutaneous coronary intervention (PCI) in addition to optimal medical therapy does not reduce major cardiovascular events and risk of death in patients with stable coronary disease compared to optimal medical therapy alone.

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