| Objective To explore the effects of revascularization optimization strategy on the prognosis of elderly patients with type 2 diabetes mellitus (T2DM) complicated with acute coronary syndrome (ACS) and coronary multivessel disease (MVD). Methods According to different revascularization strategies, 95 elderly MVD patients with T2DM and ACS who underwent percutaneous coronary intervention (PCI) from Jan 2015 to May 2017 were divided into complete revascularization group (CR group) and partial revascularization group (IR group). Baseline data, coronary angiography results, interventional therapy, major cardiovascular adverse events (MACE) and quality of life within one year after operation were compared between the two groups. Results here were no significant difference in the gender, age, smoking history, history of hypertension, history of hyperlipidemia, drug use and coronary angiography results between the two groups (P>0.05). The number of inserted stents in CR group was higher than that in IR group (P<0.05). There were no significant difference in the incidence rates of all-cause mortality, cardiac death, repeat revascularization and nonfatal myocardial infarction between the two groups (P>0.05). The recurrence rate of angina in CR group was lower than that in IR group (P<0.05). The scores of physical function, role physical, physical pain, emotional function, vitality and mental health in CR group were significantly higher than those in IR group (P<0.05).Conclusion IR and CR have the similar prognosis for elderly MVD patients with T2DM and ACS, but CR is better for improving angina symptoms and improving patients' quality of life. |
