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Titolo:
CORONARY-ARTERY-DISEASE AND CORONARY-ARTERY BYPASS-GRAFTING IN DIABETIC-PATIENTS AGED GREATER-THAN-OR-EQUAL-TO-65 YEARS (REPORT FROM THE CORONARY-ARTERY SURGERY STUDY [CASS] REGISTRY)
Autore:
BARZILAY JI; KRONMAL RA; BITTNER V; EAKER E; EVANS C; FOSTER ED;
Indirizzi:
KAISER PERMANENTE GEORGIA,4053 LAVISTA RD TUCKER GA 30084 UNIV ALABAMA,DEPT MED,DIV CARDIOVASC DIS BIRMINGHAM AL 35294 UNIV SOUTHAMPTON,DEPT SOCIAL STAT SOUTHAMPTON ENGLAND UNIV WASHINGTON,COORDINATING CTR COLLABORAT STUDIES CORONARY ARTE SEATTLE WA 00000 CTR DIS CONTROL,EPIDEMIOL PROGRAM OFF,DIV SURVEILLANCE & EPIDEMIOL ATLANTA GA 30333 ALBANY MED COLL,DIV CARDIOTHORAC SURG ALBANY NY 00000 EMORY UNIV,SCH MED,DEPT MED,DIV ENDOCRINOL ATLANTA GA 00000
Titolo Testata:
The American journal of cardiology
fascicolo: 4, volume: 74, anno: 1994,
pagine: 334 - 339
SICI:
0002-9149(1994)74:4<334:CACBID>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
MELLITUS; SURVIVAL; RISK; WOMEN; MEN;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
26
Recensione:
Indirizzi per estratti:
Citazione:
J.I. Barzilay et al., "CORONARY-ARTERY-DISEASE AND CORONARY-ARTERY BYPASS-GRAFTING IN DIABETIC-PATIENTS AGED GREATER-THAN-OR-EQUAL-TO-65 YEARS (REPORT FROM THE CORONARY-ARTERY SURGERY STUDY [CASS] REGISTRY)", The American journal of cardiology, 74(4), 1994, pp. 334-339

Abstract

A cohort of 317 diabetic patients, aged greater than or equal to 65 years, with angiographically proven coronary artery disease, was analyzed and followed for a mean of 12.8 years. compared with 1,843 age-matched nondiabetic: patients, diabetic patients were more likely to (1) have a higher number of coronary occlusions, (?) not be current smokers, (3) have higher systolic but lower diastolic blood pressures, (4) have evidence of peripheral vascular disease, and (5) be women. They didnot differ significantly with respect to total cholesterol, family history of coronary artery disease, history of hypertension, or left ventricular hypertrophy. In the total elderly cohort, diabetes was found to be an independent predictor of mortality, conferring a 57.0% increased risk of death. Survival analysis showed that diabetic subjects consistently had higher mortality than nondiabetics. However, the relative survival benefit of coronary artery bypass graft surgery versus medical therapy was comparable in diabetic and nondiabetic patients. Surgical therapy conferred a reduction in mortality of 44%.

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Documento generato il 26/11/20 alle ore 19:08:36