{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T11:26:24Z","timestamp":1747135584846},"reference-count":27,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq Bras Endocrinol Metab"],"published-print":{"date-parts":[[2007,3]]},"abstract":"<jats:p>Diabetes mellitus est\u00e1 presente em 25 a 30% de pacientes com doen\u00e7a arterial coronariana que necessitam cirurgia. Os pacientes diab\u00e9ticos t\u00eam progn\u00f3stico distinto dos n\u00e3o-diab\u00e9ticos, tanto na evolu\u00e7\u00e3o cl\u00ednica como nos resultados cir\u00fargicos. A cirurgia de revasculariza\u00e7\u00e3o est\u00e1 indicada em les\u00f5es de 2 ou mais coron\u00e1rias, nos diab\u00e9ticos. Por\u00e9m, pode ser preferida, em rela\u00e7\u00e3o \u00e0 interven\u00e7\u00e3o percut\u00e2nea, em les\u00f5es de 1 art\u00e9ria, quando esta for a descendente anterior ou houver \u00e1rea extensa sob isquemia. Diab\u00e9ticos candidatos a transplante renal devem ser submetidos \u00e0 cinecoronariografia e, se necess\u00e1rio, \u00e0 revasculariza\u00e7\u00e3o. Pacientes diab\u00e9ticos apresentam maior morbidade, como interna\u00e7\u00e3o prolongada, infec\u00e7\u00f5es, insufici\u00eancia respirat\u00f3ria, complica\u00e7\u00f5es renais e cerebrais. No entanto, n\u00e3o h\u00e1 maior mortalidade, exceto nos pacientes sem diagn\u00f3stico pr\u00e9vio. Na evolu\u00e7\u00e3o tardia, diabetes representa fator de risco para oclus\u00f5es de enxertos e mortalidade, tanto de causa card\u00edaca como de outras causas. Embora os riscos sejam maiores, a cirurgia de revasculariza\u00e7\u00e3o resulta em melhor qualidade de vida e sobrevida em rela\u00e7\u00e3o ao tratamento cl\u00ednico e \u00e0 angioplastia percut\u00e2nea, especialmente nos usu\u00e1rios de insulina ou com enxertos de art\u00e9rias mam\u00e1rias.<\/jats:p>","DOI":"10.1590\/s0004-27302007000200026","type":"journal-article","created":{"date-parts":[[2007,11,16]],"date-time":"2007-11-16T03:15:13Z","timestamp":1195182913000},"page":"345-351","source":"Crossref","is-referenced-by-count":5,"title":["Cirurgia de revasculariza\u00e7\u00e3o mioc\u00e1rdica no diabetes mellitus"],"prefix":"10.1590","volume":"51","author":[{"given":"Renato A.K.","family":"Kalil","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Universit\u00e1ria de Cardiologia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","series-title":"Cardiac Surgery","first-page":"285","volume-title":"Stenotic arteriosclerotic coronary artery disease","author":"Kirklin JW","year":"1993","edition":"2"},{"key":"ref2","first-page":"529","article-title":"Cardiac risk profile in diabetes mellitus and impaired fasting glycemia","volume":"38","author":"Schaan BD","year":"2004","journal-title":"Rev Sa\u00fade P\u00fablica"},{"key":"ref3","first-page":"1","article-title":"Diretrizes de Doen\u00e7a Coronariana Cr\u00f4nica: Angina Est\u00e1vel","volume":"83","year":"2004","journal-title":"Arq Bras Cardiol","ISSN":"http:\/\/id.crossref.org\/issn\/0066-782X","issn-type":"print"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1684","DOI":"10.1016\/j.jacc.2005.06.074","article-title":"A new anatomic score for prognosis after cardiac catheterization in patients with previous bypass surgery","volume":"46","author":"Liao L","year":"2005","journal-title":"J Am Coll Cardiol","ISSN":"http:\/\/id.crossref.org\/issn\/0735-1097","issn-type":"print"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1016\/S0003-4975(99)00143-5","article-title":"Influence of diabetes mellitus on early and late outcome after coronary artery bypass grafting","volume":"67","author":"Thourani VH","year":"1999","journal-title":"Ann Thorac Surg","ISSN":"http:\/\/id.crossref.org\/issn\/0003-4975","issn-type":"print"},{"key":"ref6","article-title":"Revasculariza\u00e7\u00e3o mioc\u00e1rdica nos pacientes com cardiopatia isqu\u00eamica e diabetes mellitus","author":"Quadros A","year":"2006","journal-title":"Rev Soc Cardiol"},{"key":"ref7","series-title":"Atherosclerosis and Coronary Artery Disease","volume-title":"Diabetes and obesity","author":"Aronson D","year":"1996"},{"key":"ref8","first-page":"e340","article-title":"ACC\/AHA practice guidelines: Guideline update for coronary artery bypass graft surgery","volume":"110","author":"Eagle KA","year":"2004","journal-title":"Circulation","ISSN":"http:\/\/id.crossref.org\/issn\/0009-7322","issn-type":"print"},{"key":"ref9","series-title":"Sociedade Brasileira de Cardiologia. 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