Myocardial Revascularization in Stable Coronary Artery Disease in Patients with and without Diabetes
Ahmed Abdalwahab
Cardiovascular Medicine Department, Faculty of Medicine, Tanta University, Egypt.
Azfar Zaman
Department of Cardiology, Freeman Hospital, Newcastle upon Tyne, UK.
Abdelfatah Elasfar
Cardiovascular Medicine Department, Faculty of Medicine, Tanta University, Egypt.
Samia Sharaf Alden
Cardiovascular Medicine Department, Faculty of Medicine, Tanta University, Egypt.
Ayman Elsaid
Cardiovascular Medicine Department, Faculty of Medicine, Tanta University, Egypt.
Saham Badr
Cardiovascular Medicine Department, Faculty of Medicine, Tanta University, Egypt.
*Author to whom correspondence should be addressed.
Abstract
In chronic stable angina management, percutaneous or surgical revascularization could be adopted in addition to optimum medical treatment. Choice of the most suitable and beneficial strategies usually depends on appropriate clinical judgment, meticulous assessment by different contemporary investigatory tools and patient preference. In this review, we address the impact of contemporary investigatory and treatment equipment such as pressure wire, intravascular imaging, myocardial perfusion scans, cardiac magnetic resonance and new generations of drug eluting stents, on the outcome of myocardial revascularization among variable stable coronary artery disease patients’ profiles; old age, multi-vessel, left main disease and diabetic patients.
Keywords: Myocardial revascularization, stable coronary artery disease, coronary bypass graft, percutaneous coronary intervention