Abstract
The review presents current data on the prevalence of diabetes in the cohort of patients undergoing coronary artery bypass grafting and percutaneous coronary intervention. The expediency of a proactive approach to identifying diabetes and pre-diabetes in patients with coronary heart disease before coronary revascularization is reviewed. The current information about the negative impact of diabetes on the prognosis of myocardial revascularization is provided, and the main mechanisms responsible for the development of adverse outcomes of interventions in these patients are highlighted. Target values of perioperative glycemia recommended by the leading communities of the study of diabetes are compared, and shown the role of other carbohydrate metabolism markers (glycated hemoglobin, fructosamine, 1,5-anhydroglucitol) in patients with diabetes mellitus in terms of their impact on cardiovascular prognosis, including with coronary intervention.
Highlights
В обзоре приведены современные данные по распространенности сахарного диабета (СД) в когортах пациентов, подвергающихся коронарному шунтированию и чрескожному коронарному вмешательству
The review focuses on the recent data for diabetes prevalence in patient cohorts underwent coronary bypass and percutaneous intervention
The worth of an active approach to diabetes and prediabetes screening is provided in coronary heart disease patients before revascularization
Summary
В обзоре приведены современные данные по распространенности сахарного диабета (СД) в когортах пациентов, подвергающихся коронарному шунтированию и чрескожному коронарному вмешательству. Госпитальный и отдаленный прогноз пациентов с инфарктом миокарда и впервые выявленными нарушениями углеводного обмена был столь же неблагоприятен, как и при установленных ранее [23].
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