糖尿病患者的PCI治疗PPT课件.ppt

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1、PercutaneousCoronaryInterventionInDiabeticPatientsS.ChiuWongMD,FACCAssociateProfessorofMedicineWeillMedicalCollegeofCornellUniversityDirector,CardiacCatheterizationLaboratoriesTheNewYorkPresbyterianHospital-CornellCampusTheACCSymposiumattheGreatWallMeeting

2、,BeijingChinaOctober17,2004PCIinDiabeticPatientsSummaryPrevalenceofDiabetesMellitusanditsAssociatedCost?WhataretheDistinctiveFeaturesAboutDiabeticVessels?WhatistheImpactofDrugElutingStentinDiabeticPatientswithCAD?HowcouldweOptimizePCITreatmentStrategiesinDiabe

3、ticPatients?PCIinDiabeticPatientsPrevalenceofDiabetesMellitusanditsAssociatedCosts?WhataretheDistinctiveFeaturesAboutDiabeticVessels?WhatistheImpactofDrugElutingStentinDiabeticPatientswithCAD?HowShouldweOptimizePCITreatmentStrategiesinDiabeticPatients?PCIinDia

4、beticPatientsPrevalenceofDiabetesMellitusanditsAssociatedCosts?WhataretheDistinctiveFeaturesAboutDiabeticVessels?WhatistheImpactofDrugElutingStentinDiabeticPatientswithCAD?HowShouldweOptimizePCITreatmentStrategiesinDiabeticPatients?AccessedonOct2,2004.www.diab

5、etes.org/diabetes-statistics/national-diabetes-fact-sheet.jspSource:NationalDiabetesFactSheet(AmericanDiabetesAssociation)NationalestimatesondiabetesintheUSin2002Total:18.2millionpeople(6.3%ofthepopulation)Approximately90%ofpatientswithdiabeteshavethetype2vari

6、etywhichisassociatedwithexcessbodyfatandphysicalinactivity.PCIinDiabeticPatientsPrevalenceofDMAmongUSAdultsPCIinDiabeticPatientsDiabetes:AGeneticLegacyApproximately90%ofpatientswithdiabeteshavethetype2variety.Theincreasingprevalenceoftype2diabetescannotbedivor

7、cedfromtherisingincidenceofobesityandphysicalinactivityinindustrializedsociety.Bothexcessbodyfatandphysicalinactivitypredisposetotype2diabetesMokdad,A.H.etal.JAMA2001;286:1195-1200.PCIinDiabeticPatientsPrevalenceofDMAmongUSAdults:1990vs.2000Incidenceofaself-re

8、portofdiagnoseddiabetesincreasedfrom4.9%in1990to7.3%(49%increase)in2000.Saydah,S.H.etal.JAMA2004;291:335-342.PCIinDiabeticPatientsPercentagesofAdultsWithRecommendedLevelsofVascular