O doente diabético com doença coronária crónica. Como revascularizar?

Resumo: A doença diabética representa uma das mais importantes preocupações para todos quantos têm de abordar e tratar a doença coronária, aguda ou crónica. A presença da diabetes coloca problemas particulares relacionados com o agravamento do prognóstico que nestes doentes se verifica, bem como as...
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Autor*in:	João Morais [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch ; Portugiesisch

Erschienen:	2013

Übergeordnetes Werk:	In: Revista Portuguesa de Cardiologia - Elsevier, 2020, 32(2013), Seite 49-53
Übergeordnetes Werk:	volume:32 ; year:2013 ; pages:49-53

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1016/S0870-2551(13)70048-9

Katalog-ID:	DOAJ045952272

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Como revascularizar?</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2013</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Resumo: A doença diabética representa uma das mais importantes preocupações para todos quantos têm de abordar e tratar a doença coronária, aguda ou crónica. 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The presence of diabetes poses specific issues with respect to outcome and treatment options, leading to worse prognosis.The role of myocardial revascularization in the management of chronic ischemic heart disease is a matter of debate, largely due to some clinical studies that failed to demonstrate it's superiority.Following the BARI-2D trial, coronary artery bypass surgery has gained some advantage over coronary angioplasty in diabetic patients with multivessel disease. This advantage was recently consolidated in the FREEDOM trial, which showed significantly better outcomes at five year follow up. 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callnumber-first	R - Medicine
author	João Morais
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topic_title	RC666-701 O doente diabético com doença coronária crónica. Como revascularizar?
topic	misc RC666-701 misc Diseases of the circulatory (Cardiovascular) system
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title	O doente diabético com doença coronária crónica. Como revascularizar?
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title_full	O doente diabético com doença coronária crónica. Como revascularizar?
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title_sort	doente diabético com doença coronária crónica. como revascularizar?
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title_auth	O doente diabético com doença coronária crónica. Como revascularizar?
abstract	Resumo: A doença diabética representa uma das mais importantes preocupações para todos quantos têm de abordar e tratar a doença coronária, aguda ou crónica. A presença da diabetes coloca problemas particulares relacionados com o agravamento do prognóstico que nestes doentes se verifica, bem como as dificuldades inerentes à terapêutica, que nesta população levanta problemas especiais.O lugar da revascularização miocárdica no tratamento da doença coronária crónica tem sido matéria de controvérsia, muito por culpa de alguns estudos clínicos que falharam na demonstração da sua superioridade.Após o estudo BARI-2D a cirurgia de bypass aorto-coronário ganhou alguma vantagem sobre a angioplastia coronária, em doentes diabéticos com doença multivasos, vantagem esta que veio a ser recentemente consolidada no estudo FREEDOM, no qual se demonstra uma significa redução de eventos ao fim de cinco anos. Abstract: Diabetes is one of the reasons for major concerns when managing patients with acute or chronic ischemic heart disease. The presence of diabetes poses specific issues with respect to outcome and treatment options, leading to worse prognosis.The role of myocardial revascularization in the management of chronic ischemic heart disease is a matter of debate, largely due to some clinical studies that failed to demonstrate it's superiority.Following the BARI-2D trial, coronary artery bypass surgery has gained some advantage over coronary angioplasty in diabetic patients with multivessel disease. This advantage was recently consolidated in the FREEDOM trial, which showed significantly better outcomes at five year follow up. Palavras-chave: Diabetes mellitus, Doença coronária crónica, Revascularização miocárdica, Keywords: Diabetes mellitus, Chronic ischemic heart disease, Myocardial revascularization
abstractGer	Resumo: A doença diabética representa uma das mais importantes preocupações para todos quantos têm de abordar e tratar a doença coronária, aguda ou crónica. A presença da diabetes coloca problemas particulares relacionados com o agravamento do prognóstico que nestes doentes se verifica, bem como as dificuldades inerentes à terapêutica, que nesta população levanta problemas especiais.O lugar da revascularização miocárdica no tratamento da doença coronária crónica tem sido matéria de controvérsia, muito por culpa de alguns estudos clínicos que falharam na demonstração da sua superioridade.Após o estudo BARI-2D a cirurgia de bypass aorto-coronário ganhou alguma vantagem sobre a angioplastia coronária, em doentes diabéticos com doença multivasos, vantagem esta que veio a ser recentemente consolidada no estudo FREEDOM, no qual se demonstra uma significa redução de eventos ao fim de cinco anos. Abstract: Diabetes is one of the reasons for major concerns when managing patients with acute or chronic ischemic heart disease. The presence of diabetes poses specific issues with respect to outcome and treatment options, leading to worse prognosis.The role of myocardial revascularization in the management of chronic ischemic heart disease is a matter of debate, largely due to some clinical studies that failed to demonstrate it's superiority.Following the BARI-2D trial, coronary artery bypass surgery has gained some advantage over coronary angioplasty in diabetic patients with multivessel disease. This advantage was recently consolidated in the FREEDOM trial, which showed significantly better outcomes at five year follow up. Palavras-chave: Diabetes mellitus, Doença coronária crónica, Revascularização miocárdica, Keywords: Diabetes mellitus, Chronic ischemic heart disease, Myocardial revascularization
abstract_unstemmed	Resumo: A doença diabética representa uma das mais importantes preocupações para todos quantos têm de abordar e tratar a doença coronária, aguda ou crónica. A presença da diabetes coloca problemas particulares relacionados com o agravamento do prognóstico que nestes doentes se verifica, bem como as dificuldades inerentes à terapêutica, que nesta população levanta problemas especiais.O lugar da revascularização miocárdica no tratamento da doença coronária crónica tem sido matéria de controvérsia, muito por culpa de alguns estudos clínicos que falharam na demonstração da sua superioridade.Após o estudo BARI-2D a cirurgia de bypass aorto-coronário ganhou alguma vantagem sobre a angioplastia coronária, em doentes diabéticos com doença multivasos, vantagem esta que veio a ser recentemente consolidada no estudo FREEDOM, no qual se demonstra uma significa redução de eventos ao fim de cinco anos. Abstract: Diabetes is one of the reasons for major concerns when managing patients with acute or chronic ischemic heart disease. The presence of diabetes poses specific issues with respect to outcome and treatment options, leading to worse prognosis.The role of myocardial revascularization in the management of chronic ischemic heart disease is a matter of debate, largely due to some clinical studies that failed to demonstrate it's superiority.Following the BARI-2D trial, coronary artery bypass surgery has gained some advantage over coronary angioplasty in diabetic patients with multivessel disease. This advantage was recently consolidated in the FREEDOM trial, which showed significantly better outcomes at five year follow up. Palavras-chave: Diabetes mellitus, Doença coronária crónica, Revascularização miocárdica, Keywords: Diabetes mellitus, Chronic ischemic heart disease, Myocardial revascularization
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title_short	O doente diabético com doença coronária crónica. Como revascularizar?
url	https://doi.org/10.1016/S0870-2551(13)70048-9 https://doaj.org/article/04baa01e5bca4746902d92997ab2f03a http://www.sciencedirect.com/science/article/pii/S0870255113700489 https://doaj.org/toc/0870-2551
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up_date	2024-07-03T17:58:34.804Z
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