Frequency and Short Term Survival of Acute Myocardial Infarction Patients with Diabetes Mellitus
Munir Ahmed Rashid, Imran Javaid, Muhammad Akram
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ABSTRACT
Objective: To assess frequency and survival of AMI patients with diabetes
mellitus.
Study Type: Prospective observational study.
Study Place and Duration: DG Khan Medical College & DHQ Teaching
Hospital, DG Khan, from 1st
June 2020 to 30th May 2021.
Material and methods: The study comprised instances of Type II diabetes mellitus that
required admission in the hospital due to ST elevation myocardial infarction
and met the other criteria. Electrocardiogram (ECG) 6 hourly, cardiac enzymes
on arrival, repeated at two, four, eight, twelve, and twenty four hours, and
Troponin T fast assay are among the tests performed. On the basis of the
above-mentioned work-up, the definitive diagnosis was made within 48 hours for
acute myocardial infarction after admission. The HbA1c level and blood glucose
level were also checked to determine the diabetic state.
Results: Overall 366 diabetes
patients with AMI were studied. Out of these, 269 (73.5%) were males and 97
(26.5%) were females. The mean age of the patients was 44.86±12.26 years. Inferior wall MI
was found in (33.3%) patients and left
ventricle dysfunction was
found in (21.6%) patients. CK-MB and troponin T enzyme was found in raised
diabetes patients, (51.9%) and (90.7%), respectively. n=44 (12.0%) deaths were
reported in 1-10 days, n=43 (11.7%) deaths were reported in 11-20 days and n=51
(13.9%) deaths were reported in 21-30 days.
Conclusion: In current study it was concluded that in patients with diabetes
mellitus, the short term mortality increases.
Keywords: Frequency, Short term, Acute Myocardial Infarction (MI), Diabetes
Mellitus(DM), Mortality, Shortness of Breath, Chest Pain