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- Title
ETUDE COMPARATIVE DE LA MALADIE CORONAIRE CHEZ LES DIABÉTIQUES ET NON DIABÉTIQUES AU SERVICE DE CARDIOLOGIE DU CHU ARISTIDE LE DANTEC.
- Authors
Dioum, M.; Youm, N.; Gaye, N. D.; Mingou, J. S.; Sarr, S. A.; Aw, F.; Bodian, M.; Gaide, N. A. A.; Diack, B.; Diaye, N. M. B.; Baye, M. A.; Diao, M.; Kane, A.; Ba, S. A.
- Abstract
The aim of this study was to compare the features of coronary artery disease between diabetic and non-diabetic patients. Patients and methods A case-control study was carried out from 1 May 2013 to 31 July 2015 in the department of cardiology of Aristide le Dantec university hospital. Forty-five diabetic patients and forty-five non-diabetic patients who underwent coronary angiography and/or angioplasty were included. Results: There was a male predominance with a sex ratio of 1.6 in both groups. The mean age was 62.26 years for diabetics and 59.06 years for non-diabetics (p = 0.6). In diabetics, symptomatology was dominated by silent ischemia (48.9%) versus typical angina pain (68.9%) in non-diabetics. Myocardial infarction was the most common indication of coronary angiography in both groups. Coronary angiography revealed one-vessel disease (46.6% versus 41.7% p = 0.822), double vessel disease (26.7% versus 41.7% p = 0.091) and triple vessel disease (26.7% versus 16.6% p = 0.561). Angioplasty was indicated in 37.8% of diabetics versus 63.9% of non-diabetics. Nine diabetic patients and three non-diabetic patients had an indication of coronary artery bypass grafting. Conclusion: Our study confirms the greater frequency of silent ischemia and multiple-vessel disease in diabetics as well as a more frequent indication of coronary artery bypass grafting in these patients.
- Publication
Mali Médical, 2017, Vol 32, Issue 3, p40
- ISSN
0464-7874
- Publication type
Article