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Association of diabetes mellitus with clinical outcomes in patients with different coronary artery stenosis

Cardiovascular Diabetology Oct 29, 2021

Zhang HW, Jin JL, Cao YX, et al. - A worse outcome was experienced by diabetic patients with intermediate coronary artery stenosis (ICAS) which was comparable to patients suffering from severe coronary artery stenosis (SCAS) alone.

  • This study involved 10,940 patients who were hospitalized due to angina-like chest pain, and were divided into non-obstructive coronary artery stenosis (CAS) (NOCAS, < 50% stenosis), intermediate CAS (50–69% stenosis), and severe CAS (70–100% stenosis) subgroups.

  • Participants were further split into six groups: NOCAS with diabetes mellitus (DM) and non-DM, ICAS with DM and non-DM, and SCAS with DM and non-DM.

  • A higher incidence of major adverse cardiovascular events was observed in those with ICAS or SCAS when patients coexisted with DM.

  • Increased risk of events was observed in patients with ICAS and DM, SCAS and non-DM, SCAS and DM [adjusted hazard ratio: 1.709, 1.911, 2.053] vs those with NOCAS and non-DM.

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