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September 21, 2023Cardiovascular DiabetologyOpen Access

Both smoking-related and diabetes-related PAD exhibit increased thrombo-inflammatory responses of unknown relative magnitude.

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Why the study?

Although diabetes-related PAD has an accelerated course and worse outcomes than non-diabetic PAD, current medical treatment does not distinguish between them and provides standard antiplatelet and lipid-lowering drugs for all PAD patients.

Design

Review

Key result

Both smoking-related and diabetes-related peripheral artery disease exhibit increased thrombo-inflammatory responses, though the specific magnitude of thrombo-inflammation in diabetes compared with smokers remains unknown.

Authors

TATeba AlnimaRadboud University NijmegenRMRick I. MeijerRadboud University NijmegenHSHenri M.H. SpronkVascular Medicine

Discussion

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Member takes

Overview

May inform subtype-specific PAD strategies; leaves open direct thrombo-inflammatory comparisons between diabetes and smoking.

Structured PICO

P
Population
Patients with peripheral artery disease (PAD), specifically focusing on those with diabetes mellitus (DM) versus smoking-related PAD.

This review emphasizes the pathophysiological differences between diabetes- and smoking-related PAD, advocating for disease-specific therapeutic strategies rather than a one-size-fits-all approach.

Limitations

  • Lack of direct head-to-head comparisons between diabetic patients and smokers with peripheral artery disease.
  • Insufficient data on the magnitude of thrombo-inflammatory responses between diabetic and non-diabetic patients with peripheral artery disease.

Cite This Study

Alnima et al. (2023) conducted a review in Peripheral artery disease. Both smoking-related and diabetes-related peripheral artery disease exhibit increased thrombo-inflammatory responses, though the specific magnitude of thrombo-inflammation in diabetes compared with smokers remains unknown.

synapsesocial.com/papers/6a0ef8b453f874f2b2230409https://doi.org/10.1186/s12933-023-01990-6
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Recent Knowledge of Smoking and Peripheral Arterial Disease in Lower Extremities2015 · 10 citations
  2. 2Position Paper on the Diagnosis and Treatment of Peripheral ArterialDisease (PAD) in People with Diabetes Mellitus2019 · 16 citations
  3. 3Pharmacological Therapy of Peripheral Artery Disease in Patients with Diabetes Mellitus: Cardiovascular Risk Factor Management2019 · 1 citations
  4. 4DIABETES MELLITUS TYPE 2 AS A MOST IMPORTANT RISK FACTOR IN THE DEVELOPMENT OF PERIPHERAL VASCULAR DISEASE: A CASE REPORT2024
  5. 5Peripheral Artery Disease in Diabetes Mellitus: Focus on Novel Treatment Options2020 · 7 citations