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SM ISO690:2012 Particularities of coronarography in patients with acute myocardial infarction and diabetes . In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 184. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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Background. Acute myocardial infarction (AMI) is the leading cause of death in patients with diabetes. It has been estimated that 15-25% of coronary angiography patients are diabetic. The risk of primary IMA is > 20% and that of repeated IMA is > 40%, than in a patient without diabetes. Objective of the study. Determining the particularities of diagnosis and treatment of myocardial infarction by coronary angiography in patients with diabetes mellitus. Material and Methods. The study was conducted using the databases PubMed, Z-library, NCIB, Medscape, Mendeley, using the keywords: „coronary angiography”, „acute myocardial infarction”, „diabetes”, „acute coronary heart disease”, „risk”. Results. The most affected artery according to coronary angiography in patients with AMI and DM was LCx (circumflex left artery) -80%, LAD (descending left artery) -75%, RCA (right coronary artery) -50-60% and LM (left branch marginal) - 20%. The damage can be univascular in 80-90% of cases, bivascular in 60%, multivascular in 45-55%. The extent of atherosclerosis, plaque and light narrowing are significantly different between men (B) and women (F), with a ratio of 2:1. Coronary angioplasty is useful for people with AMI and diabetes, improving the results in the short and long term, reducing mortality at one year by 45%. Conclusion. In patients with AMI, studies show that diabetes remains a predictor of damage to the distal portion of the coronary arteries, which causes difficulties in performing stenting treatment. This is useful for the development of future therapeutic strategies in medical practice. |
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Cuvinte-cheie coronary angiography, acute myocardial infarction, diabetes mellitus, vascular damage, coronarografie, infarct miocardic acut, diabet zaharat, afectare vasculară |
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