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Long term outcomes of percutaneous coronary intervention vs coronary artery bypass grafting in patients with diabetes mellitus with multi vessels diseases: A meta-analysis.
Jaiswal, Vikash; Sattar, Yasar; Peng Ang, Song; Ishak, Angela; Naz, Sidra; Minahil Nasir, Yusra; Song DO, David; Titus, Anoop; Huang, Helen; Chaudhary, Gaurav; Rubinstein, David; Elgendy, Islam Y; Raina, Sameer; Alam, Mahboob; Balla, Sudarshan; Daggubati, Ramesh.
Afiliación
  • Jaiswal V; Department of Research, Larkin Community Hospital, South Miami, FL, USA.
  • Sattar Y; Division of Cardiovascular Medicine, West Virginia University, WV, Morgantown, USA.
  • Peng Ang S; Division of Internal Medicine, Rutgers Health/Community Medical Center, NJ, USA.
  • Ishak A; European University Cyprus - School of Medicine, Nicosia, Cyprus.
  • Naz S; Division of Internal Medicine, BIDMC/Harvard Medical School, Boston, USA.
  • Minahil Nasir Y; Division of Internal Medicine, Montefiore Medical Center, NY, USA.
  • Song DO D; Division of Internal Medicine, Icahn School of Medicine at Mount Sinai Elmhurst Hospital Center, Queens, NY, USA.
  • Titus A; Department of Internal Medicine, Saint Vincent Hospital, Worcester, MA, USA.
  • Huang H; Royal College of Surgeons in Ireland, University of Medicine and Health Science, Dublin, Ireland.
  • Chaudhary G; Department of Cardiology, King George Medical University, Lucknow, India.
  • Rubinstein D; Department of Cardiovascular Medicine, Icahn School of Medicine at Mount Sinai Elmhurst Hospital Center, Queens, NY, USA.
  • Elgendy IY; Division of Cardiovascular Medicine, Gill Heart Institute, University of Kentucky, Lexington, KY, USA.
  • Raina S; Division of Cardiovascular Medicine, West Virginia University, WV, Morgantown, USA.
  • Alam M; Department of Medicine, Division of Cardiology, Baylor Medical Center, TX, USA.
  • Balla S; Division of Cardiovascular Medicine, West Virginia University, WV, Morgantown, USA.
  • Daggubati R; Division of Cardiovascular Medicine, West Virginia University, WV, Morgantown, USA.
Int J Cardiol Heart Vasc ; 46: 101185, 2023 Jun.
Article en En | MEDLINE | ID: mdl-37255858
Aims: Long term cardiovascular outcome comparison of multivessel coronary disease among patients with diabetes mellitus (DM) undergoing percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) is limited. The objective of this study was to compare the long-term cardiovascular outcome PCI vs CABG among DM patients with multivessel disease. Method and results: Online databases were explored to identify studies that compared cardiovascular outcomes between PCI and CABG among patients with DM. The primary outcome was all-cause mortality. Secondary outcomes included major adverse cardiovascular and cerebrovascular events (MACCE), myocardial infarction (MI), rate of revascularization, cardiac death, and cerebrovascular accident (CVA). A total of 27 studies with 37,091 (PCI n = 19,838 (53 %) and CABG n = 17,253 (47 %)) patients were included. The mean age was 64 ± 5.9 years for PCI group and 63.8 ± 5.3 years for CABG group; and, predominantly male (71.22 % vs 74.29 %) for PCI and CABG respectively. The most common comorbidity was hypertension (64.35 % vs 62.88 %) in both PCI and CABG respectively. Compared with CABG, PCI group had a higher odds of overall all-cause mortality (OR 1.18, 95 % CI 1.02-1.37, p = 0.03), MACCE (OR 1.52, 95 % CI 1.31-1.75, p = 0.00), MI (OR 1.85, 95 % CI 1.46-2.36, p = 0.00), repeat revascularization (OR 3.08, 95 % CI 2.34-4.05, p = 0.00) and cardiac death (OR 1.27, 95 % 1.02-1.59, p = 0.04), while CVA (0.57, 95 % CI 0.37-0.86, p = 0.01) was higher with CABG. Conclusion: Diabetic patients with multivessel coronary artery disease have worse outcomes undergoing PCI as compared to CABG. However, CVA was significantly higher with CABG. CABG remains the preferred management among eligible patients with multivessel disease and DM.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Systematic_reviews Idioma: En Revista: Int J Cardiol Heart Vasc Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Irlanda
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Systematic_reviews Idioma: En Revista: Int J Cardiol Heart Vasc Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Irlanda