Angiographic Aspects of Ischemic Heart Disease in Diabetic Patients

The prevalence of diabetes continues to increase worldwide, reaching record levels as it will affect 10.9% of the global adult population by 2045, therefore, constituting a real public health problem. The impact of diabetes on cardiovascular health has been proven with a two- to fourfold increased global cardiovascular (CV) risk compared with those without diabetes, due to macrovascular and microvascular damage indicating a rigorous management of this cardiovascular risk. Ischemic heart disease remains as the principal comorbid condition and primary contributor to mortality in patients with diabetes mellitus. Compared with nondiabetics patients with coronary disease, patients with diabetes have more extensive lesions and more silent episodes of ischemia. Thus, diabetics have more progressive coronary disease and poorer survival than nondiabetic coronary patients. The aim of our work is to document the different angiographic aspects and particularities of coronary disease in diabetic patients.