Risk stratification for patients with unstable angina pectoris with concomitant type 2 diabetes mellitus

摘要

The work was initiated to assess a relation between glycemia control adequacy and dyslipidemia correction by statins in the medically treated diabetics with 2-year unstable angina pectoris outcome. 29 patients with newly diagnosed and progressing angina pectoris were examined and followed-up for 2 years. Fatal and non-fatal myocardial infarction, stroke, sudden death, emergent rehospitalization were among the disease unfavorable outcomes. The findings demonstrated confident differences in the initial postprandial glycemia differential (PGD) in patients with the disease favorable course. In the group of patients with the disease favorable course proportion of persons with mild PGD increment (not more than 27.7%) comes up to more than a half, to be significantly (5 times) and confidently higher than in patients with the adverse disease. The fact per se allows considering mild PGD increment as a discriminating marker for setting aside patients with the disease favorable course positively responding to statin therapy.