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Impact of Diabetes Mellitus on Peripheral Vascular Disease Concomitant with Coronary

Author(s): Mehrab Marzban | Mohammadreza Zafarghandi | Mohsen Fadaei Araghi | Abbasali Karimi | Seyed Hossein Ahmadi | Namvar Movahedi | Kyomars Abbasi | Naghmeh Moshtaghi

Journal: Journal of Tehran University Heart Center
ISSN 1735-8620

Volume: 4;
Issue: 1;
Start page: 39;
Date: 2009;
Original page

Keywords: Diabetes mellitus | Peripheral vascular disease | Coronary artery disease

"nBackground: The aim of this study was to evaluate the impact of diabetes mellitus (DM) on peripheral vascular disease (PVD) in patients with coronary artery disease (CAD). "nMethods: A total of 13702 consecutive patients who underwent coronary artery bypass grafting (CABG) at Tehran Heart Center between January 2002 and March 2007 were included in this study. The demographic data, PVD, and outcome of these patients were reviewed. CABG patients before surgery were detected for PVD (stenosis ≥70% in the abdominal aorta; renal, carotid, and iliac arteries; or any other peripheral vascular system) with physical examination and past medical history. The suspected cases of PVD were, thereafter, confirmed via Doppler sonography or invasive angiography. "nResults: This study recruited 4344 diabetic patients (mean age 59.30±8.7 years) and 9358 non-diabetic patients (mean age 58.42±9.9 years). The diabetics were significantly older and had a higher incidence of PVD (2.7% vs. 1.8%), female gender, hypertension, renal failure, smoking, and dyslipidemia than the non-diabetics (P

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