Control of Cardiovascular Risk Factors in Revascularized Patients With Diabetes: A Subanalysis of the ICP-Bypass Study

Patients with type 2 diabetes and revascularized coronary disease are a group with very high cardiovascular risk that has been rarely studied. This ICP-Bypass substudy analyzes the clinical characteristics and risk factor control of these patients. The analysis selected patients with type 2 diabetes who had participated in an earlier multicenter, observational, cross-sectional study (ICP-Bypass) conducted in 2293 patients > 18 years of age who had undergone coronary surgery or percutaneous coronary intervention. Demographic and therapeutic variables, as well as clinical and analytical parameters, were collected and comparatively analyzed. The mean age (standard deviation) of the 771 diabetic patients included in the analysis was 67.7 (9.6) years (71.4% men; mean time since revascularization, 3.5 years). Most (57.8%) were receiving treatment with oral hypoglycemics alone, whereas 30.4% were receiving insulin alone or in combination. The mean glycohemoglobin figure was 7.1% (in 70%, 70mg/dL). Among these patients, 93.6% were receiving statins and 18.7% a statin combined with ezetimib. A total of 78.1% had been diagnosed with hypertension; systolic/diastolic blood pressure was < 130/80mmHg in 52% and < 140/90mmHg in 93%. Cardiovascular risk and prevention may be improved in revascularized diabetic patients in Spain through further control of risk factors, particularly dyslipidemia. Patients with glycohemoglobin > 7.5% should be individually assessed in terms of glycemic targets. Los diabéticos tipo 2 con enfermedad coronaria revascularizada son un grupo de muy alto riesgo cardiovascular poco estudiado. Este subanálisis del estudio ICP-Bypass analiza sus características clínicas y el control de factores de riesgo. Se seleccionó a los diabéticos tipo 2 procedentes de un estudio previo multicéntrico, observacional y transversal (ICP-Bypass) realizado en 2.293 pacientes >18 años sometidos a cirugía coronaria o intervencionismo coronario percutáneo. Se recogieron y analizaron de manera comparativa variables demográficas y terapéuticas, así como los parámetros clínicos y analíticos. La edad media ± desviación estándar de los 771 diabéticos fue 67,7 ± 9,6 años (el 71,4% varones; tiempo medio desde la revascularización, 3,5 años). La mayoría (57,8%) recibía tratamiento con antidiabéticos orales solos y el 30,4% recibían insulina sola o combinada. La me