diaendoСахарный диабетDiabetes mellitus2072-03512072-0378Endocrinology research centre10.14341/DM7922diaendo-7922Research ArticleКардиологияCardiologyРеваскуляризация миокарда у пациентов с ишемической болезнью сердца при сахарном диабете 2 типаMyocardial revascularization in patients with coronary heart disease and type 2 diabeteshttps://orcid.org/0000-0002-9396-4575БезденежныхНаталья АлександровнаBezdenezhnykhNatalya A.n_bez@mail.ruСуминАлексей НиколаевичSuminAleksey N.

доктор медицинских наук, заведующий отделом мультифокального атеросклероза НИИ КПССЗ

an_sumin@mail.ruФГБНУ Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеванийРоссияResearch Institute for Complex Issues of Cardiovascular DiseasesRussian Federation201602122016196471478Copyright © Безденежных Н.А., Сумин А.Н., 20162016Безденежных Н.А., Сумин А.Н.Bezdenezhnykh N.A., Sumin A.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.dia-endojournals.ru/jour/article/view/7922

В обзоре обсуждаются различные аспекты реваскуляризации миокарда у пациентов с ишемической болезнью сердца и с сахарным диабетом 2 типа (СД2). Представлены данные исследований последних лет и международных национальных рекомендаций, доказывающих преимущество коронарного шунтирования перед чрескожным коронарным вмешательством у пациентов с СД2 при стабильной ишемической болезни сердца и множественном поражении коронарных артерий. Показано, что СД2 остается предиктором отдаленных неблагоприятных исходов. Приведены результаты исследований, показывающих влияние различных стратегий коронарной реваскуляризации и предоперационной подготовки на результаты вмешательства у пациентов с диабетом.

The review discusses myocardial revascularization in patients with coronary heart disease and type 2 diabetes. The data presented include findings from recent research and international and national recommendations and provides evidence on the advantages of coronary artery bypass surgery over percutaneous coronary intervention for patients with diabetes mellitus, stable coronary artery disease and multiple coronary artery lesions. Type 2 diabetes remains a significant predictor of adverse long-term outcomes of coronary artery bypass surgery. Therefore, we review studies showing that different strategies of coronary revascularization and preoperative preparation can affect the results of coronary intervention in patients with diabetes.

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The authors declare that there are no conflicts of interest present.