Chonnam Med J.  2002 Jun;38(2):146-153.

Risk Factors of Restenosis after Percutaneous Coronary Intervention in Type 2 Diabetes Mellitus Patients

• Yoon IS
• Chung JO
• Hong SI
• Cho DH
• Kang HC
• Chung DJ
• Chung MY

Abstract

Cardiovascular disease is one of the main causes of death in diabetic patients, of which ischemic heart disease (IHD) is the most common. Patients with IHD undergo percutaneous coronary intervention (PCI) or coronary bypass surgery, depending on the severity of the disease. There are risks following PCI, especially in individuals with hypertension, history of smoking, or dyslipidemia; however, risk factors of restenosis in diabetic patients have not been clarified. Therefore, this study was performed to determine the risk factors of restenosis after PCI in diabetic patients. Forty-three diabetic patients, who under-went PCI and received follow-up coronary angiographies between January 1995 and June 2001 at Chonnam National University Hospital, were studied. The patients were classified into two groups, a restenosis and a non-restenosis, and several factors of both groups were analyzed statistically. There were no significant differences in age, sex, duration of diabetes mellitus, incidence of hypertension between the restenosis and non-restenosis groups, except for body mass index (BMI) and fasting blood sugar (FBS) levels. The BMI and FBS were higher in the restenosis group than in the non-restenosis group (BMI : p=0.027 & FBS : p=0.006). This study revealed that high BMI and FBS should be regarded as risk factors for restenosis after PCI in diabetic patients.

Keyword

Restenosis; Diabetes mellitus; Coronary artery diseases; Angioplasty

MeSH Terms

Angioplasty
Blood Glucose
Body Mass Index
Cardiovascular Diseases
Cause of Death
Coronary Angiography
Coronary Artery Disease
Diabetes Mellitus
Diabetes Mellitus, Type 2*
Dyslipidemias
Fasting
Follow-Up Studies
Humans
Hypertension
Incidence
Jeollanam-do
Myocardial Ischemia
Percutaneous Coronary Intervention*
Risk Factors*
Smoke
Smoking
Blood Glucose
Smoke