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Among diabetic patients, those in the highest SDI quintile had significantly higher risk of cardiovascular death and myocardial infarction as compared to those in the remaining quintiles (log rank p = 0.029) (adjusted hazard's ratio 1.72 [95% CI 1.01-2.92], p = 0.04). There was no association of the SDI with outcomes in nondiabetic patients (log rank p = 0.39). In an underserved population, patients with diabetes and high SDI demonstrate higher rates of adverse ischemic events and cardiovascular death during long-term follow up after PCI.