Why the study?
What clinical factors predict the presence and severity of coronary artery disease on angiography in patients with type II diabetes?
Population
520 type II diabetic patients who had undergone coronary angiography at Seoul National University Hospital…
Design
Case-control
Key result
In type II diabetic patients, having 4 to 5 clinical risk factors was associated with a 16-fold higher odds of coronary artery disease on angiography compared to having 0 to 1 risk factor.
Authors
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May support selective angiography referral in high-risk diabetes; hypothesis-generating and requires prospective validation before practice change.
Case-Control (n=520)
No
What clinical factors predict the presence and severity of coronary artery disease on angiography in patients with type II diabetes?
In type II diabetic patients, multiple clinical risk factors including poor glycemic control, low HDL, hypertension, and smoking strongly correlate with the presence and angiographic severity of coronary artery disease.
Odds Ratio: 16
Choi et al. (2002) conducted a case-control in Type II diabetes and coronary artery disease (n=520). Multiple clinical risk factors (4-5 risk factors) vs. 0-1 clinical risk factors was evaluated on Coronary artery disease (>50% stenosis on coronary angiography) (OR 16.0). In type II diabetic patients, having 4 to 5 clinical risk factors was associated with a 16-fold higher odds of coronary artery disease on angiography compared to having 0 to 1 risk factor.