Immediate and postponed results of planned endovascular coronary intervention depending on carbohydrate metabolism disorders

The paper presents a retrospective analysis of the endovascular treatment of coronary artery disease (CAD) in patients with stable CAD. The study was conducted in the Department of Cardiac Rehabilitation (FSBI “RI Cardiology” SB RAMS, Tomsk) from 2010 to 2011. Data showed that the efficacy and safety of the interventions, performed in our department, were consistent with data of the international and Russian registers; the results of PCI in delayed period showed a significant decrease in functional class of angina and heart failure. Negative impact of concomitant type 2 diabetes mellitus on the long-term outcomes of coronary stenting was confirmed by the facts of increased frequency of stent restenoses and increased number of repeated interventions on blood vessels, as well as the absence of clinical improvement of chronic heart failure symptoms. It was caused by the progressive reduction of the total myocardial contractility according to the echocardiography data.