Clinical characteristics and management of patients with diabetes mellitus and stable coronary artery disease in daily clinical practice. The SCAD–DM Registry

Autor: Maria E. Marketou, Charalambos Vlachopoulos, George Hahalis, Kristalenia Kafkala, Nikolaos Kouvelas, Ioannis Mantas, Antonios Sideris, Evaggelos Pisimisis, Emmanouel P. Vardas, Stylianos Tzeis, Panos E. Vardas, Vassiliki Dimitroula, Christos Hatjielefteriou, Nikolaos Kampouridis, Georgios Karakostas, Athanasios Karanasios, Stylianos Lambropoulos, Fotios Papalisandrou, Emmanouil Scoubourdis, Nikolaos Smirnioudis, Eleftherios Adamopoulos, Georgios Aggelopoulos, Charalampos Albanis, Alexandros Amaslidis, Maria Andreopoulou, Ilias Antoniou, Ilias Apostolou, Georgios Afaras, Vasileios Arfaras, Konstantinos Aronis, Georgios Askar, Christos Athanasiou, Sokratis Avlonitis Antonios Beroukas, Emmanouil Chorozopoulos, Nikolaos Chrysomallis, Konstantinos Davos, Eftichia Demerouti, Vasileios Dimopoulos, Nikolaos Dimoulis, Vasileios Drakoulidis, Kiriaki Faka, Dimitrios Fotiadis, Alexandros Galapis, Antonios Giakoumis, Ioannis Goupios, Christos Harbas, Vasileios Hatjiioakeimidis, Georgios Hondrokoukis, Panagiotis Kalaras, Marina Kanakaraki, Konstantinos Kapetanios, Vasileios Karasavvidis, Theodoros Karonis, Andreas Karydakis, Christos Katsaris, Christos Katsikas, Konstantinos Katsas, Sokratis Kazantzidis, Nikolaos Kipouridis, Eirini Kokani, Georgios Kolios, Ilias Konstantinidis, Themistoklis Konstantinou, Marios Konstantinou, Georgios Kontopoulos, Georgios Kontoroupis, Georgios Koroniotis, Apostolos Kotidis, Chrysanthi Koukosi, Mihail Kouremetis, Christos Kouris, Georgios Kouskos, Konstantinos Koutras, Georgios Koutsibanis, Harikleia Krontira, Konstantinos Lalenis, Christos Liatas, Leonidas Lillis, Grigorios Limperatos, Emmanouil Liodakis, Stavros Liropoulos, Ioannis Livaditis, Dimitrios Logothetis, Maria Lolaka, Georgios Loukidelis, Georgios Mablekos, Antonios Manousakis, Nikolaos Marinakis, Dimitrios Markou, Virginia Markou, Anestis Matziridis, Panagiotis Mavraganis, Vasileios Mavridis, Ioannis Mavrodimitrakis, Georgios Migias, Dimitrios Mitropoulos, Christos Mitroulas, Savvas Nikiforos, Vasileios Nikolaidis, Christos Nikopoulos, Nikoloaos Oikonomidis, Konstantinos Panagiotopoulos, Georgios Panagoulias, Anna Panou, Ioannis Pantelakis, Achilleas Papadopoulos, Apostolos Papadopoulos, Georgios Papaioannou, Andreas Papamichail, Soultana Papanastasiou, Panagiotis Papas, Eleftherios Papavasileiou, Vasileios Papavasileiou, Athanasios Patialiakas, Alexandros Patsilinakos, Georgios Pechlivanidis, Spiridon Petrogiannis, Nikolaos Pontikakis, Charalampos Parissis, Fotios Patsourakos, Evangelos Pisimisis, Andreas Pittaras, Sotirios Plastiras, Athanasios Platis, Panagiotis Poulikarakos, Markos Prionidis, Paraskevi Psarogianni, Emmanouil Psathakis, Dimitrios Psirropoulos, Maria Riga, Ali Risgits, Evangelos Rosmarakis, Maria Samartzi, Isidoros Sarris, Konstantinos Sassalos, Dimitrios Savvalas, Georgios Siliogas, David Simeonidis, Loukas Sinos, Andreas Skanavis, Achilleas Skordas, Vassiliki Sklirou, Iason Skotiniotis, Anastasios Spanos, Dimitrios Sratech, Christos Stathopoulos, Rafail Stavropoulos, Christos Stavrotheodoros, Emmanouil Stefanakis, Konstantinos Stefanis, Christos Stefopoulos, Dimitrios Stergiou, Konstantinos Svolis, Konstantinos Toulis, Kallinikos Tsakonas, Nikolaos Tsamis, Eleni Tzamtzi-Mastaka, Georgios Tzeltzes, Ioannis Tsiantis, Theodora Tsiotika, Vasileios Vachliotis, Ioannis Vakalis, Konstantinos Vardakis, Alexandros Vassilopoulos, Georgia Vlahou, Vasileios Vogas, Evropia Voukelatou, Nikiforos Vrettos, Dionisios Xenos, Konstantinos Zagoridis, Tsilla Zafiriou, Christos Zafiris, Maria Zaharia, Fanourios Zampetakis, Vasileios Zouganelis
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Hellenic Journal of Cardiology, Vol 62, Iss 6, Pp 408-415 (2021)
Druh dokumentu: article
ISSN: 1109-9666
DOI: 10.1016/j.hjc.2020.12.006
Popis: Background: Patients with diabetes mellitus (DM) and coronary artery disease (CAD) represent a high-risk population, where comorbidities are common and the progression of coronary heart disease is relatively rapid and extensive. The present survey, conducted nationwide in a Eurozone country, Greece, with a properly organized national health system, aimed to record specific data from a significant number of patients with diabetes and documented stable CAD (SCAD). Methods and results: We conducted our survey across the country, in private and public primary, secondary, and tertiary care centers. A total of 1900 patients aged 71 ± 10 years old who suffered from both DM and chronic coronary syndromes were registered. Of the patients registered, 574 (30.24%) were women. It was found that 506 (26.6%) of the 1900 surveyed patients showed typical angina symptoms, while another 560 (29.5%) patients had developed angina-equivalent symptoms according to their history. Additionally, 324 (17%) patients had atypical symptoms that could not easily be attributed to existing CAD and the remaining 510 (26.8%) of the 1900 patients did not exhibit any angina symptoms during their daily activities. Functional testing for myocardial ischemia was not performed in 833 patients (43.8%). Myocardial scintigraphy was the most commonly used noninvasive technique (644 patients, 34%), while 492 patients (25.9%) had an exercise test and 159 (8.4%) underwent stress echocardiography. Conclusion: Real-world data in this specific high-risk population of diabetic patients with SCAD offer the opportunity to identify and improve diagnostic and therapeutic practice in the healthcare system of a European Union country.
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