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Serial coronary computed tomography angiography-verified coronary plaque progression: Comparison of stented patients with or without diabetes

Cardiovascular Diabetology Oct 03, 2019

Shi R, Shi K, Yang ZG, et al. - Researchers compared diabetic and non-diabetic patients to determine how diabetes mellitus (DM) influences the prevalence, features and severity of coronary computed tomography angiography (CCTA) verified plaque progression in stented patients. This study included 98 patients who had undergone percutaneous coronary intervention and clinically indicated serial CCTAs. Participants were observed over a median duration of 1.5 years, during which, DM group vs non-DM controls demonstrated plaque progression in a larger number of patients in more non-stented vessels and non-stented segments. In multivariate logistic regression analysis, an independent link of DM with plaque progression was revealed. Findings revealed a close association of DM with the prevalence and severity of CCTA verified coronary artery disease progression. Based on these findings, clinicians are advised to pay attention to non-stent segments and the management of non-stent segment plaque progression, especially to DM patients.
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