Clinical case of simultaneous stenting iliofemoral part and the left coronary artery in patient with diabetes type 2
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Abstract:
КЛИНИЧЕСКИЙ СЛУЧАЙ ОДНОМОМЕНТНОГО СТЕНТИРОВАНИЯ ПОДВЗДОШНО-БЕДРЕННОГО СЕГМЕНТА И ЛЕВОЙ КОРОНАРНОЙ АРТЕРИИ УKeywords:
Coronary stenting
Left coronary artery
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Hyperglycemia with or without blood glucose in diabetes range is an emerging finding not uncommonly encountered in patients with COVID-19. Increasingly, all evidence currently available hints that both new-onset hyperglycemia without diabetes and new-onset diabetes in COVID-19 is associated with a poorer outcome compared with normoglycemic individuals and people with pre-existing diabetes.
2019-20 coronavirus outbreak
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Medical record
Impaired fasting glucose
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To determine whether a relationship exists between performance-based physical assessments and pre-diabetes/diabetes in an older Chinese population.Our study population comprised 976 subjects (mean ± SD age: 67.6±6.0 years; 44.5% men) from the Hangu area of Tianjin, China. Diabetes was defined by self-reporting of a physician's diagnosis, or a fasting plasma glucose level ≥126 mg/dL; and pre-diabetes was defined as a fasting plasma glucose level ≥100 mg/dL and <126 mg/dL.When all other variables were adjusted for, men needing longer to finish a Timed Up and Go Test and a decreased usual walking speed had higher odds of pre-diabetes (P for trend = 0.007 and 0.008, respectively) and diabetes (P for trend = 0.012 and 0.014, respectively). However, women needing longer to finish the test and a decreased usual walking speed had a higher odds of diabetes (P for trend = 0.020 and 0.034, respectively) but not of pre-diabetes. There was no apparent association between grip strength and pre-diabetes/diabetes in both sexes.In this study, poor lower extremity function was associated with pre-diabetes/diabetes in older people.
Odds
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Our main objective was to compare the in-hospital and long-term outcomes of saphenous vein graft stenting and native coronary artery stenting in patients with previous coronary artery bypass grafting.We studied 127 patients who had prior coronary artery bypass; they were divided in two groups, according to the kind of percutaneous coronary intervention performed. The first group included 49 patients with saphenous vein graft stenting and the second group included 78 patients who underwent native coronary artery stenting.There was no significant difference in age, incidence of diabetes, smoking, arterial hypertension, dyslipidemia, left ventricular ejection fraction or in the New York Heart Association functional class between both groups. The incidence of no reflow phenomenon was higher in group 1 (10.2% vs. 1.2%, p = 0.0001). The cumulative incidence of major adverse cardiac events was different between groups at 1 month (10.2% vs. 2.5%, p = 0.041). There was a lower MACE (major adverse cardiovascular events) free survival at 36 months in the saphenous vein graft stenting group (65.0% vs. 89.1%, p = 0.024).Major in-hospital complications occurred more frequently in the saphenous vein graft stented group. MACE-free survival at 3 years was higher in the native coronary artery stent patients.
Coronary stenting
Saphenous vein graft
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Diabetes is a chronic metabolic disorder, which leads to many organ-specific complications. Patients with diabetes are at higher risk of developing cardiovascular disease (CVD). CVD in the context of diabetes (and this article) includes all forms of coronary, cerebrovascular, and peripheral vascular disease. As per Diabetes UK, the NHS spends almost 10% of its budget on diabetes or related illness. As the increasing number of patients with diabetes has significantly increased the burden on the NHS, it is important to not only diagnose and treat them early, but also to reduce the development of complications through preventive measures. This article specifically looks at the epidemiology, pathogenesis, and management of the cardiovascular complications of diabetes.
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Objective To understand the status of diabetes cognition among COPD patients complicated with diabetes mellitus. Method Totally, 240 COPD patients complicated with diabetes mellitus were investigated by self- designed questionnaire about their knowledge of diabetes mellitus. Results There were significant differences between different gender patients in hypoglycemia symptoms and treatment principles( P 0. 01),among different age patients in diabetes mellitus causes,clinical manifestation and complications,treatment( P 0. 01 or P 0. 05). There were significant differences between among different education background patients in correlation between long- term using glucocorticoid and diabetes and diabetes treatment( P 0. 01 or P 0. 05),among different COPD stages patients in correlation between long- term using glucocorticoid and diabetes,diabetes mellitus causes,hypoglycemia symptoms and treatment principles,diabetes treatment( P 0. 01 or P 0. 05). There were significant differences between different diabetes stages patients in diabetes mellitus causes,clinical manifestation and complications,hypoglycemia symptoms and treatment principles,diabetes treatment( P 0. 01 or P 0. 05). Conclusion The diabetes related health education for COPD patients should be specific according to their situations,in order to control the glucose,promote the prognosis and improve their self- control of glucose.
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Abstract Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) syndrome is a rare congenital coronary artery anomaly especially when diagnosed in an adult patient and remains an important cause of sudden cardiac death. We report a 46-year-old patient with ALCAPA syndrome managed with left main coronary artery (LMCA) interruption and grafting of the LMCA with left internal mammary artery so as to restore antegrade coronary flow. This approach of restoring dual-coronary-artery system by grafting the LMCA allows antegrade blood flow as in a normal coronary artery to a large area of viable myocardium, is more physiological, and is practical and easy to accomplish in an anteriorly placed and dilated LMCA as seen in our case. (J Card Surg 2012;27:325–327)
Left coronary artery
Coronary artery anomaly
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Diabetes is associated with poor clinical outcomes of coronavirus disease 2019 (COVID-19). However, the impact of newly diagnosed diabetes on prognosis has not been clarified. The objective of this study was to show the features and outcome of COVID-19 patients with newly diagnosed diabetes in Japan.
Glycated hemoglobin
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Abstract We estimated effects of diabetes mellitus and metabolic control on long-term change in coronal caries and restorative status using 11-year-follow-up data from the population-based Study of Health in Pomerania. Data of 3731 participants with baseline and 5- and 11-year follow-up information were included. Diabetes was defined via self-reported physician´s diagnosis or intake of glucose-lowering drugs or hemoglobin A1c (HbA1c) ≥6.5% or fasting blood glucose levels ≥11.1 mmol/l. The diabetes status was defined as no diabetes (HbA1c < 6.5% or non-fasting blood glucose <11.1 mmol/l), subjects with known or undetected diabetes mellitus and HbA1c ≤ 7% (well-controlled diabetes), and subjects with known or undetected diabetes mellitus and HbA1c > 7% (poorly-controlled diabetes). The caries status was clinically assessed using the half-mouth method and the Decayed Missing Filled Surfaces (DMFS) index and its component scores were determined. Covariate-adjusted linear mixed models were evaluated. Rates in change in DMFS were significantly higher in subjects with poorly-controlled diabetes compared to subjects without diabetes. Subjects with poorly- and well-controlled diabetes had significantly higher rates in change in Missing Surfaces (MS) compared to subjects without diabetes. For the DFS, rates in change were significantly lower for subjects with well-controlled diabetes and higher for subjects with poorly-controlled diabetes as compared to subjects without diabetes. Concordantly, all rates in change increased proportional to HbA1c levels. Effects were even more pronounced in subjects with diabetes duration of ≥5 years. Subjects with poorly-controlled diabetes are at higher risk for caries progression compared to subjects without diabetes, especially in case of longer disease duration.
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