AI Article Synopsis
- The study discusses the use of adjuvant drug treatments during and after percutaneous coronary intervention (PCI) to reduce major cardiovascular events in diabetic patients.
- Special emphasis is placed on managing cardiovascular risk factors, with maintaining normal blood sugar levels being crucial for patient care.
- The authors highlight the debate around antiplatelet therapy, recommending that the use of GPIIb/IIIa agents should only be reserved for diabetic patients with significant thrombotic risk rather than being universally applied.
Article Abstract
The authors describe the adjuvant drug treatment during and after percutaneous coronary intervention in order to obtain the reduction of major cardiovascular events, focusing in diabetic patients. In the clinical follow-up of diabetic patients after PCI, special attention to the control measures of cardiovascular risk factors should be observed. Among those measures, a normal glycemic level is fundamental, which can be achieved with usual clinical care. Antiplatelet therapy is a controversy issue until know. Although combined antiplatelet therapy with aspirin and a thienopyridynic is well supported by a number of clinical trials, adding GPIIb/IIIa agents as adjuvants in diabetic patients should not be irrestrictive as suggested by some authors; they should be restricted to patients with a significative thrombotic burden.
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| http://dx.doi.org/10.1590/s0004-27302007000200025 | DOI Listing |
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