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



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