Resultados hospitalares da intervenção coronária percutânea em diabéticos

Abstract

Background: There are few available reports in the literature assessing in-hospital outcomes of diabetic patients currently undergoing percutaneous coronary intervention (PCI). This article aimed to assess the acute post-PCI outcomes of a large series of diabetic and non-diabetic patients treated consecutively. Methods: From August 2006 to February 2012, 6,011 patients were submitted to PCI and included in the registry of the Hospital Bandeirantes. The techniques and devices for the procedure were chosen by the surgeons. Clinical outcomes were registered at the time of hospital discharge. Results: Diabetic patients were older and more frequently females, with a higher prevalence of comorbidities and risk factors for coronary artery disease, except for smoking. However, most of the characteristics related to lesion complexity did not differ between groups. In diabetics, the number of treated vessels (1.6 ± 0.8 vs. 1.4 ± 0.7; P < 0.01) was higher, and the use of smaller stents (2.9 ± 0.5 mm vs. 3 ± 0.5 mm; P < 0.01) was more frequent. A procedural success rate of 95.5% was achieved in both groups. In-hospital outcomes did not differ in the incidence of major adverse cardiac and cerebrovascular events (3.

Temporal analysis of percutaneous coronary intervention in diabetic patients. Data from a national registry

“…[17][18][19][20] Some studies analyzed the influence of using drug-eluting stents on selection of diabetic patients treated by PCI, and demonstrated the greater availability of such stents increa ses the indications for more complex cases and enables achieving more complete myocardial revascularization. [7][8][9] Two temporal trends demonstrated in this study with diabetic patients show what occurred with the Brazilian population in the past 10 years: aging, with older individuals having access to the healthcare system, and reduction in smoking, as a consequence of policies and laws restricting this habit. Another result that may find an answer in the organization of health policies in our country, instead of representing improvement of cardiovascular prevention actions, was the progressive reduction of patients with STEMI and, consequently, of primary PCI during the course of the study.…”

“…The complexity of coronary lesions, rapid progression of atherosclerotic disease, and higher rates of restenosis, even with the use of drug-eluting stents, are some reasons for these results. [7][8][9] On the other hand, the progress of PCI techniques and devices in recent years has been outstanding, and few publications are available regarding the impact of this development on in-hospital outcomes of PCI in diabetic patients in our country. Our objective was to verify characteristics, procedural results and mortality of PCI in diabetic patients in Brazil in the last 10 years.…”