Diabetes Mellitus and Coronary Angiography.

Kim,  Byung Jin

doi:2012.13.4.201

J Korean Diabetes > Volume 13(4); 2012 > Article

Focused Issue

The Journal of Korean Diabetes 2012;13(4):201-206.
DOI: https://doi.org/10.4093/jkd.2012.13.4.201 Published online December 27, 2012.

당뇨병과 관상동맥조영술

김병진

Diabetes Mellitus and Coronary Angiography.

Byung Jin Kim

Division of Cardiology, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. bjjake.kim@samsung.com

Abstract

Diabetes mellitus is one of the major causes of cardiovascular morbidity and mortality, and its prevalence is increasing. Although there have been great efforts regarding the early diagnosis and treatment of coronary artery disease in diabetic patients with the development of non-invasive imaging modalities, many diabetic patients are still managed with invasive coronary therapies such as percutaneous coronary intervention or coronary artery bypass graft in clinical practice. Coronary angiography is a gold standard method for detecting and treating coronary artery disease; however, this method is invasive and thus can elicit a relatively higher prevalence of procedure-related complications than non-invasive diagnostic methods. Accordingly, the appropriate use of coronary angiography could play an important role in the reduction of unnecessary complications as well as physician decision making. Recently, appropriate use criteria for coronary angiography in many types of patients with suspected or known coronary artery disease have been documented. This article demonstrates several aspects to be considered when performing coronary angiography and the appropriate use criteria of coronary angiography in diabetic patients.

Key Words: Diabetes mellitus, Coronary angiography, Coronary artery disease, Percutaneous transluminal coronary angioplasty, Acute coronary syndrome