Predictions of Short Term Morbidity and Mortality of Diabetic Patients Undergoing PCI, Single Vessel Disease vs. Multi-vessel disease

Abstract

Coronary artery disease is a major cause of complications and death among patients with diabetes mellitus. In particular, patients with diabetes are prone to a diffuse and rapidly progressive form of atherosclerosis, which increases their likelihood of requiring revascularization .

The role of PCI has been evolving over the last 2 decades. Coronary stent implantation has improved clinical outcome of diabetic patients compared with balloon angioplasty, primarily as the result of a reduction in acute complications and restenosis rate .

This study aimed to determine the short term outcomes as regards major adverse cardiac & cerebral events MACCE: (death, acute coronary syndrome: myocardial infarction & unstable angina, cerebrovascular stroke, target vessel revascularization) in diabetic patients as compared to single vessel disease and multi vessel disease undergoing elective percutaneous coronary intervention (PCI) .

The study was applied to patients with diabetes mellitus who were suffering from acute coronary syndrome (ACS) and referred for coronary angiography and percutaneous coronary intervention (PCI).