MODERN APPROACH TOWARDS SURGICAL TREATMENT OF CORONARY HEART DISEASE IN DIABETIC PATIENTS

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Abstract

In the recent years there has been registered an increase in diabetes mellitus (DM) morbidity, especially among able-bodied citizens. The steady increase in amount of DM patients inevitably leads to the increase in the amount of diabetic CHD patients – candidates for the surgical myocardial revascularization. This article contains analysis of choice of myocardial revascularization technique in patients with CHD and concomitant DM. It also contains data from the study of endovascular and surgical treatment of CHD results in diabetic patients. This study also included postoperative complications analysis with exposure of complication development predictors and was held in Bakulev Scientific Centre of cardiovascular surgery. Results obtained in the study testify to the fact that DB increases relative risk of cardio-vascular complications (cardiac death, myocardial infarction and restenosis of special-purposed stenosis) development in patients with CHD after percutaneous coronary intervention with stenting. DM is an independent risk factor that increases myocardial infarction development risk, recurrence of stenocardia and shunt failure during the three year follow up after the coronary artery bypass grafting done in CHD patients.

About the authors

L. A. Bokeria

Bakulev Scientific centre of cardiovascular surgery RAMS, Moscow

Author for correspondence.
Email: leoan@heart-house.ru
доктор медицинских наук, академик РАН и РАМН, директор ФГБУ «Научный центр сердечно-сосудистой хирургии им. А.Н. Бакулева» РАМН Адрес: 121552, Москва, Рублевское шоссе, 135 Тел.: (495) 414-75-71 Russian Federation

E. Z. Golukhova

Bakulev Scientific centre of cardiovascular surgery RAMS, Moscow

Email: egolukhova@yahoo.com
доктор медицинских наук, член-корреспондент РАМН, руководитель отделения неинва- зивной аритмологии ФГБУ «Научный центр сердечно-сосудистой хирургии им. А.Н. Бакулева» РАМН Адрес: 121552, Москва, Рублевское шоссе, 135 Тел.: (495) 414-75-71 Russian Federation

I. Yu. Sigaev

Bakulev Scientific centre of cardiovascular surgery RAMS, Moscow

Email: sigaeviu@mail.ru
доктор медицинских наук, профессор, руководитель отделения хирургии сочетанных поражений коронарных и магистральных артерий ФГБУ «Научный центр сердечно-сосудистой хирургии им. А.Н. Бакулева» РАМН Адрес: 119049, Москва, Ленинский проспект, 8 Тел.: (499) 236-82-65 Russian Federation

М. A. Keren

Bakulev Scientific centre of cardiovascular surgery RAMS, Moscow

Email: milenamailru@mail.ru
доктор медицинских наук, научный сотрудник отделения хирургии сочетанных поражений коронарных и магистральных артерий ФГБУ «Научный центр сердечно-сосудистой хирургии им. А.Н. Бакулева» РАМН Адрес: 119049, Москва, Ленинский проспект, 8 Тел.: (499) 236-92-53 Russian Federation

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