أعضاء هيئة التدريس - جامعة بنها
PERCUTANEOUS CORONARY INTERVENTION IN DIABETICS VERSUS NON DIABETICS Departmertt of Cardiology, Bertha Faculty of Medicine, Bertha universIty. Egypt
• 1950
معلومات البحث
المؤلفون
El-Sayed Abdel Khalek MD, Ibrahim M. Mansour MD,
Reda Bayoumi MD and Eman S. Elkeshk MD
الكلمات المفتاحية
Not Available
المجلة العلمية
Not Available
الناشر
Not Available
المجلد
Not Available
العدد
Not Available
الصفحات
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publication.type
Local
رابط البحث
Not Available
المواد المرفقة
Not Available
الملخص
This study was conducted to compare the clinical outcome of percutaneous coronary intervention (PCI) in diabetics versus non diabetics.
Patients and Methods: The study involved fifty three patients, thirty diabetic patients and twenty three non diabetic patients as a control group. All patients were subjected to thorough history taking, physical examination, electrocardiography, routine laboratory work up and echocardiography pre-catheterization .Sixty-four stents were inserted, thirty-eight of them in diabetic patients and twenty six in the non -diabetic patients. AU patients had coronary arigtography pre, immediately post stenting and atfoUow-up within 6 months arid The diameter of the vessel was calculated before, immediately post and at follow up angiography. Also the time of inflation and the maximum pressure, stent diameter, type, and length of stents were recorded.
Results: Statistical analysis of the results of this study showed a sign flcantly higher incidence of stent restenosis among diabetic group compared to non diabetic group. 14 patients in the diabetic group had stent restenosis versus 6 patients in non diabetic group (P<O.05). Also, the incidence of stent restenosis was signflcantly higher among patients presenting with unstable angina, left ventricular dysfunction, IDDM ,total coronary occlusion and those who experienced coronary dissection during PCI. At follow up Coronary angiography, the mean TIMI flow of non diabetic patients was 2.6 ± 0.82 and for diabetic group was 2.17± 1.2 arid the dfference was statistically signftcant (P < 0.05). Regarding complications during PCI 3 patients (1096) in diabetic group had acute coronary occlusion versus none of the non diabetic group.
Conclusion: The results showed that stent restenosis was significantly higher among diabetic patients than non diabetics and the incidence of restenosis was particularly higher among diabetic patients having unstable angina , left ventricular dysfunction, IDDM, type B or C coronary lesions and those who experienced coronary dissection during PCl.
Patients and Methods: The study involved fifty three patients, thirty diabetic patients and twenty three non diabetic patients as a control group. All patients were subjected to thorough history taking, physical examination, electrocardiography, routine laboratory work up and echocardiography pre-catheterization .Sixty-four stents were inserted, thirty-eight of them in diabetic patients and twenty six in the non -diabetic patients. AU patients had coronary arigtography pre, immediately post stenting and atfoUow-up within 6 months arid The diameter of the vessel was calculated before, immediately post and at follow up angiography. Also the time of inflation and the maximum pressure, stent diameter, type, and length of stents were recorded.
Results: Statistical analysis of the results of this study showed a sign flcantly higher incidence of stent restenosis among diabetic group compared to non diabetic group. 14 patients in the diabetic group had stent restenosis versus 6 patients in non diabetic group (P<O.05). Also, the incidence of stent restenosis was signflcantly higher among patients presenting with unstable angina, left ventricular dysfunction, IDDM ,total coronary occlusion and those who experienced coronary dissection during PCI. At follow up Coronary angiography, the mean TIMI flow of non diabetic patients was 2.6 ± 0.82 and for diabetic group was 2.17± 1.2 arid the dfference was statistically signftcant (P < 0.05). Regarding complications during PCI 3 patients (1096) in diabetic group had acute coronary occlusion versus none of the non diabetic group.
Conclusion: The results showed that stent restenosis was significantly higher among diabetic patients than non diabetics and the incidence of restenosis was particularly higher among diabetic patients having unstable angina , left ventricular dysfunction, IDDM, type B or C coronary lesions and those who experienced coronary dissection during PCl.