Do diabetic patients with unstable angina have a higher incidence of complex lesion morphology compared to nondiabetic patients?
Diabetic patients with unstable angina exhibit more complex coronary lesion morphology, including plaque ulceration and thrombus, which may explain their higher risk of acute coronary syndromes.
The results of the angioscopic examination show that diabetic patients with unstable angina have a higher incidence of plaque ulceration and intracoronary thrombus formation than nondiabetic patients. This increased frequency of complex lesion morphology is consistent with the disproportionately higher risk for development of acute coronary syndromes in these patients.
Silva et al. (Sun,) studied this question.