The Relationship between Glucose Tolerance and Severity of Coronary Artery Disease Using the Gensini Score

Autor: Betül Erer, Nuri Comert, Hakan Hasdemir, Mehmet Ergelen, Hale Yilmaz, Mehmet Sargin, Hüseyin Aksu, Mehmet Eren, Irfan Sahin, Zekeriya Nurkalem
Rok vydání: 2010
Předmět:
Zdroj: Angiology. 61:751-755
ISSN: 1940-1574
0003-3197
DOI: 10.1177/0003319710373747
Popis: Consecutive patients (n = 235) with coronary ischemia were studied; 69 patients (29%) had diabetes. An oral glucose tolerance test (OGTT) was administered to the 166 patients without diabetes; 76 (46%) had normal glucose tolerance (group I = NGT), 68 (41%) had impaired glucose tolerance ([IGT] group II = IGT), and 22 (13%) had diabetic glucose tolerance (DGT). The DGT patients were added to the known diabetics forming (Group III; n = 91). Multivessel disease was significantly more prevalent in group III; 30 patients (43%) in group I, 32 patients (51%) in group II, and 57 patients (69%) in group III ( P = .002). Gensini scores were 43.20 ± 24.92 in group I, 54.22 ± 42.61 in group II, and 60.59 ± 38.21 in group III. ( P = .037) The severity of coronary artery disease is related to abnormal glucose tolerance. Patients with IGT could be neglected in terms of interventions focused to improve risk factors.
Databáze: OpenAIRE