Mortality Risk Similar for Diabetes Patients With or Without Angina Symptoms
In addition, the cumulative five-year composite outcome rate was 24 percent in patients with angina, 24 percent in patients with angina equivalents and 21 percent in the asymptomatic patients. There also was no significant difference in the hazard ratio between the asymptomatic patients and the symptomatic patients in regard to all-cause mortality and the composite outcome.
Among the patients randomized to optimal medical therapy, there was no significant difference between the three groups of patients in terms of the five-year total death rate and the composite outcome. Similar results were found for the patients randomized to prompt revascularization.
Moving forward, the authors note that patients with type 2 diabetes and stable coronary artery disease should be managed similarly in regard to risk stratification and preventive therapies regardless of whether they are symptomatic or not for angina at presentation.
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