PMID- 32730490 OWN - NLM STAT- MEDLINE DCOM- 20200917 LR - 20200917 IS - 0717-6163 (Electronic) IS - 0034-9887 (Linking) VI - 148 IP - 2 DP - 2020 Feb TI - [Coronary artery disease in pre and postmenopausal women. The influence of type 2 diabetes mellitus]. PG - 145-150 LID - S0034-98872020000200145 [pii] LID - 10.4067/s0034-98872020000200145 [doi] AB - BACKGROUND: Postmenopausal women have higher severity of coronary heart disease (CHD) than premenopausal women and type 2 diabetes mellitus (T2DM) is an independent risk factor. AIM: To assess the severity of CHD in pre and postmenopausal patients undergoing coronary angiography and the impact of T2DM in both groups. MATERIAL AND METHODS: A coronary angiography was performed to 707 women due to suspected CHD during 2013 and 2014. Of these, 579 were older than 55 years and were considered as postmenopausal. Factors such as hypertension, obesity, smoking, creatinine and T2DM were registered. The severity of CHD in coronary angiography was evaluated according to the number of vessels with more than 50% stenosis. RESULTS: Compared to their postmenopausal counterparts, premenopausal women had less frequency of T2DM (31% and 42% p < 0.033), hypertension (52 and 78%, p < 0.001) and alteration of renal function (11 vs. 39%, p < 0.001). Absence of coronary lesions was found in 44 and 32% of premenopausal and postmenopausal women, respectively (p < 0.01). Premenopausal women with T2DM had a higher frequency of multi-vessel disease than those without the disease (25 and 4.5%, p < 0.001). The frequency of multi-vessel disease was higher in postmenopausal than premenopausal women (24 and 11%, p < 0.01). Hypertension, T2DM and renal involvement were associated with a higher frequency multiple vessel disease. CONCLUSIONS: The severity of CHD is higher in postmenopausal women and T2DM is associated with the disease. FAU - Gajardo-Navarrete, Jorge AU - Gajardo-Navarrete J AD - Departamento de Medicina Interna, Facultad de Medicina, Universidad de Concepcion, Concepcion, Chile. FAU - Ibieta, Guillermo AU - Ibieta G AD - Departamento de Medicina Interna, Facultad de Medicina, Universidad de Concepcion, Concepcion, Chile. FAU - Concha, Marco AU - Concha M AD - Departamento de Medicina Interna, Facultad de Medicina, Universidad de Concepcion, Concepcion, Chile. FAU - Garces, Pamela AU - Garces P AD - Departamento de Medicina Interna, Facultad de Medicina, Universidad de Concepcion, Concepcion, Chile. FAU - Robles, Isabel AU - Robles I AD - Unidad de Hemodinamia, Centro Cardiovascular, Hospital Guillermo Grant Benavente, Concepcion, Chile. FAU - Vera-Calzaretta, Aldo AU - Vera-Calzaretta A AD - Departamento de Salud Publica, Facultad de Medicina, Universidad de Concepcion, Concepcion, Chile. FAU - Gonzalez-Burboa, Alexis AU - Gonzalez-Burboa A AD - Departamento de Salud Publica, Facultad de Medicina, Universidad de Concepcion, Concepcion, Chile. FAU - Gajardo, Ignacio AU - Gajardo I AD - Facultad de Medicina, Universidad de Concepcion, Concepcion, Chile. FAU - Gutierrez, Milenka AU - Gutierrez M AD - Facultad de Medicina, Universidad de Concepcion, Concepcion, Chile. FAU - Villarroel, Mauricio AU - Villarroel M AD - Facultad de Medicina, Universidad de Concepcion, Concepcion, Chile. FAU - Aguayo, Matias AU - Aguayo M AD - Facultad de Medicina, Universidad de Concepcion, Concepcion, Chile. LA - spa PT - Journal Article TT - Enfermedad coronaria en mujeres pre y postmenopausicas y su relacion con la diabetes mellitus tipo 2. PL - Chile TA - Rev Med Chil JT - Revista medica de Chile JID - 0404312 SB - IM MH - Coronary Angiography MH - *Coronary Artery Disease MH - *Diabetes Mellitus, Type 2 MH - Female MH - Humans MH - Postmenopause MH - Premenopause MH - Risk Factors EDAT- 2020/07/31 06:00 MHDA- 2020/09/18 06:00 CRDT- 2020/07/31 06:00 PHST- 2019/08/22 00:00 [received] PHST- 2020/02/06 00:00 [accepted] PHST- 2020/07/31 06:00 [entrez] PHST- 2020/07/31 06:00 [pubmed] PHST- 2020/09/18 06:00 [medline] AID - S0034-98872020000200145 [pii] AID - 10.4067/s0034-98872020000200145 [doi] PST - ppublish SO - Rev Med Chil. 2020 Feb;148(2):145-150. doi: 10.4067/s0034-98872020000200145.