1. Clinical characteristics and management of patients with diabetes mellitus and stable coronary artery disease in daily clinical practice. The SCAD-DM Registry
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Evaggelos Pisimisis, Alexandros Amaslidis, Maria Samartzi, Christos Nikopoulos, Alexandros Vassilopoulos, Eleftherios Adamopoulos, Leonidas Lillis, Nikolaos Kipouridis, Emmanouil Chorozopoulos, Vasileios Drakoulidis, Christos Liatas, Georgia Vlahou, Emmanouil Psathakis, Konstantinos Kapetanios, Dimitrios Markou, Emmanouil Liodakis, Marios Konstantinou, Christos Athanasiou, Panos E. Vardas, Loukas Sinos, Vasileios Vogas, Paraskevi Psarogianni, Georgios I Papaioannou, Evangelos Rosmarakis, Chrysanthi Koukosi, Georgios Askar, Panagiotis Mavraganis, Konstantinos Panagiotopoulos, Ioannis Mavrodimitrakis, Soultana Papanastasiou, Nikolaos Kouvelas, Andreas Skanavis, Vasileios Vachliotis, Fotios Patsourakos, Spiridon Petrogiannis, Nikolaos Pontikakis, Dimitrios Mitropoulos, Stylianos Lambropoulos, Panagiotis Poulikarakos, Kristalenia Kafkala, Anestis Matziridis, Dimitrios Savvalas, Emmanouil Stefanakis, Isidoros Sarris, Andreas Papamichail, Nikolaos Marinakis, Virginia Markou, Konstantinos Koutras, Christos Katsikas, Mihail Kouremetis, Dimitrios I. Fotiadis, Vasileios Zouganelis, Ilias Antoniou, Savvas Nikiforos, Christos Kouris, Athanasios Karanasios, Andreas Pittaras, Emmanouel P. Vardas, Charalampos Albanis, Vasileios Mavridis, Theodora Tsiotika, Ioannis Tsiantis, Georgios Kontoroupis, Christos Hatjielefteriou, Nikolaos Kampouridis, Evropia Voukelatou, Grigorios Limperatos, Nikolaos Chrysomallis, Christos Stefopoulos, Kallinikos Tsakonas, Themistoklis Konstantinou, Nikiforos Vrettos, Achilleas Skordas, Ioannis Pantelakis, Harikleia Krontira, Eirini Kokani, Charalampos Parissis, George Hahalis, David Simeonidis, Konstantinos Vardakis, Georgios Pechlivanidis, Ioannis Vakalis, Maria Riga, Nikoloaos Oikonomidis, Alexandros Patsilinakos, Ioannis Mantas, Georgios Hondrokoukis, Apostolos Papadopoulos, Georgios Panagoulias, Vassiliki Sklirou, Konstantinos Davos, Theodoros Karonis, Stylianos Tzeis, Sokratis Avlonitis Antonios Beroukas, Konstantinos Katsas, Apostolos Kotidis, Vasileios Arfaras, Ioannis Goupios, Christos Zafiris, Maria Lolaka, Georgios Migias, Konstantinos Lalenis, Christos Harbas, Panagiotis Kalaras, Fotios Papalisandrou, Markos Prionidis, Dionisios Xenos, Maria E. Marketou, Konstantinos Svolis, Georgios Mablekos, Stavros Liropoulos, Georgios Tzeltzes, Ali Risgits, Dimitrios Sratech, Ilias Konstantinidis, Tsilla Zafiriou, Nikolaos Tsamis, Georgios Afaras, Christos Stathopoulos, Konstantinos Toulis, Evangelos Pisimisis, Georgios Kontopoulos, Maria Zaharia, Vasileios Hatjiioakeimidis, Antonios Giakoumis, Athanasios Patialiakas, Fanourios Zampetakis, Vasileios Karasavvidis, Vasileios Dimopoulos, Vassiliki Dimitroula, Antonios Manousakis, Christos Katsaris, Dimitrios Stergiou, Nikolaos Dimoulis, Kiriaki Faka, Georgios Koroniotis, Christos Stavrotheodoros, Panagiotis Papas, Konstantinos Zagoridis, Konstantinos Stefanis, Georgios Kolios, Iason Skotiniotis, Dimitrios Logothetis, Marina Kanakaraki, Achilleas Papadopoulos, Georgios Loukidelis, Vasileios Papavasileiou, Antonios Sideris, Konstantinos Aronis, Alexandros Galapis, Georgios Kouskos, Eftichia Demerouti, Vasileios Nikolaidis, Maria Andreopoulou, Anastasios Spanos, Konstantinos Sassalos, Eleni Tzamtzi-Mastaka, Charalambos Vlachopoulos, Georgios Karakostas, Georgios Koutsibanis, Nikolaos Smirnioudis, Georgios Siliogas, Sotirios Plastiras, Eleftherios Papavasileiou, Ioannis Livaditis, Andreas Karydakis, Ilias Apostolou, Emmanouil Scoubourdis, Sokratis Kazantzidis, Anna Panou, Rafail Stavropoulos, Dimitrios Psirropoulos, Georgios Aggelopoulos, Athanasios Platis, and Christos Mitroulas
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medicine.medical_specialty ,Activities of daily living ,Population ,Myocardial Ischemia ,Coronary Artery Disease ,030204 cardiovascular system & hematology ,Coronary Angiography ,Angina Pectoris ,angina ,Coronary artery disease ,Angina ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Diabetes mellitus ,Stress Echocardiography ,Diabetes Mellitus ,Diseases of the circulatory (Cardiovascular) system ,Medicine ,media_common.cataloged_instance ,Humans ,030212 general & internal medicine ,Registries ,European union ,education ,media_common ,Aged ,Aged, 80 and over ,education.field_of_study ,business.industry ,Middle Aged ,medicine.disease ,RC666-701 ,Female ,Cardiology and Cardiovascular Medicine ,business ,Scad - Abstract
Background Patients with diabetes mellitus and coronary artery disease (CAD) represent a high-risk population, where comorbidities are common, and the progression of coronary heart disease is relatively rapid and extensive. The present survey, conducted nationwide in a Eurozone country, Greece, with a properly organized national health system, aimed to record specific data from a significant number of patients with diabetes and documented stable CAD (SCAD). Methods and Results We conducted our survey across the country, in private and public primary, secondary and tertiary care centers. A total of 1900 patients aged 71±10 years old suffering from both diabetes mellitus and chronic coronary syndromes were registered. Of the patients registered 574 (30.24%) were women. It was found that 506 (26.6%) of the 1900 surveyed patients showed typical angina symptoms, while another 560 (29.5%) patients had developed angina-equivalent symptoms according to their history. Additionally, 324 (17%) patients had atypical symptoms that could not easily be attributed to existing coronary artery disease and the remaining 510 (26.8%) of the 1900 patients did not exhibit any angina symptoms during their daily activities. Functional testing for myocardial ischemia was not performed in 833 patients (43.8%). Myocardial scintigraphy was the most commonly used noninvasive technique (644 patients, 34%), while 492 patients (25.9%) had an exercise test and 159 (8.4%) underwent stress echocardiography. Conclusion Real world data in this specific high-risk population of diabetic patients with SCAD offers the opportunity to identify and improve diagnostic and therapeutic practice in the health-care system of a European Union country.
- Published
- 2020