Cited by 222Coronary Interventions and DiagnosticsCardiac Imaging and DiagnosticsDiabetes, Cardiovascular Risks, and Lipoproteins

Coronary Artery Disease and Diabetes Mellitus

Open access
Aronson, Doron, Edelman, Elazer R.·2014·Cardiology Clinics

Abstract

Diabetes mellitus (DM) is a major risk factor for cardiovascular disease. Near-normal glycemic control does not reduce cardiovascular events. For many patients with 1- or 2-vessel coronary artery disease, there is little benefit from any revascularization procedure over optimal medical therapy. For multivessel coronary disease, randomized trials demonstrated the superiority of coronary artery bypass grafting over multivessel percutaneous coronary intervention in patients with treated DM. However, selection of the optimal myocardial revascularization strategy requires a multidisciplinary team approach ('heart team'). This review summarizes the current evidence regarding the effectiveness of various medical therapies and revascularization strategies in patients with DM.

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Crossref · 10.1016/j.ccl.2014.04.001

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  • Dysfunction of multiple organ systems manifests similarly in diabetes as during normal chronological ageing, but in diabetes this frequently occurs at a younger age.

    “Dysfunction of multiple organ systems manifests similarly in diabetes as it does during normal chronological ageing, but in diabetes this frequently occurs at a younger age [2–4].”

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Authors
Aronson, D., & Edelman, E. R.
Affiliations
  • Technion – Israel Institute of Technology (IL)
  • Brigham and Women's Hospital (US)
Venue
Cardiology Clinics
Publisher
Elsevier BV
Published
2014-08
Volume
32
Issue
3
Pages
439-455
ISSN
0733-8651 (ISSN-L)
OpenAlex
W2103962300
Cited by
222
References
125
Citations by year
2026: 9 · 2025: 30 · 2024: 24 · 2023: 27 · 2022: 29 · 2021: 27 · 2020: 23 · 2019: 19 · 2018: 12 · 2017: 7 · 2016: 6 · 2015: 4 · 2014: 1
FWCI
1.13
Type
journal article
Language
en
Open access
Locations
  • Cardiology Clinics (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of General Medical Sciences (R01GM049039)
Topics
  • Health Sciences › Medicine › Surgery › Coronary Interventions and Diagnostics
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Cardiac Imaging and Diagnostics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords
coronary artery disease, diabetes mellitus, glycemic control, cardiovascular risk, coronary revascularization, coronary artery bypass grafting, percutaneous coronary intervention, multivessel coronary artery disease, heart team, optimal medical therapy
MeSH terms
Coronary Artery Disease, Diabetes Mellitus, Humans, Hypoglycemic Agents, Myocardial Revascularization, Risk Factors, Global Health, Incidence, Prevalence, Glycemic Index

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