Coronary Revascularization Improves Long-Term Prognosis in Diabetic and Nondiabetic End-Stage Renal Disease.
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- Aoki Jiro
- Divisions of Cardiology
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- Ikari Yuji
- Divisions of Cardiology
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- Nakajima Hiroyoshi
- Divisions of Cardiology
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- Sugimoto Tokuichiro
- Nephrology, Mitsui Memorial Hospital
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- Hara Kazuhiro
- Divisions of Cardiology
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To test the hypothesis that coronary revascularization improves long-term prognosis in patients with hemodialysis, 80 of 121 patients (66%) on maintenance hemodialysis who had undergone initial coronary angiography had bypass surgery, catheter angioplasty, or both between 1983 and 1999. Multivessel disease was more frequent (p=0.01) and the duration of hemodialysis therapy was shorter (p=0.01) in patients with diabetes (n=61), than in nondiabetic patients (n=60). Of the patients who underwent revascularization, complete revascularization was achieved in 75% of those with diabetic nephropathy (30/40) and 83% in a similar number of nondiabetic patients (33/40). The 5-year survival rate from initiation of hemodialysis was 79% in diabetic and 96% in non-diabetic patients (p<0.01), exceeding published Japanese (53% vs 70%) and US (26% vs 60%) survival rates. When survival was studied from the date of revascularization, predictors of outcome were age and achievement of complete revascularization. Surprisingly, diabetes was not a predictor of survival outcome. Complete revascularization improves long-term survival in both diabetic and nondiabetic patients. (Circ J 2002; 66: 595 - 599)<br>
収録刊行物
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- Circulation Journal
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Circulation Journal 66 (6), 595-599, 2002
一般社団法人 日本循環器学会
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詳細情報 詳細情報について
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- CRID
- 1390001205105923584
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- NII論文ID
- 110002682822
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- NII書誌ID
- AA11591968
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- COI
- 1:STN:280:DC%2BD38zjtFKmsA%3D%3D
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- ISSN
- 13474820
- 13469843
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- PubMed
- 12074280
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- PubMed
- CiNii Articles
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- 使用不可