A STUDY OF MORTALITY AND COMPLICATION RATE OF DIABETICS WITH MYOCARDIAL INFARCTION
Abstract
ABSTRACT:Diabetes Mellitus is a common endocrine disorder. Ii increases and accelerates atherogenesis.Cardiovascular complications dominate the lives of diabetic patients, with most succumbing tocoronary artery disease. We studied the mortality and major complication rate of diabetics whodeveloped an acute myocardial infarction. 26.4% of patients died during the index infarction andoverall about 79% had at least one significant myocardial infarction related complication. Diabeticpatients with a myocardial infarction need to be treated as a special group with close monitoring oftheir blood sugar levels to reduce the incidence of mortality and complications. Efforts should bemade to prevent diabetes mellitus by the avoidance or treatment of obesity and by encouragingphysical activity.References
Wilson CS, Gar GT, Fulton RE, et al. Coronary artery disease in diabetic and non-diabetic patients:
a clinical and angiographic comparison. Clin Cardio 1983 6: 440.
Kennel WB, McGee DL Insights from the Framingham study, JAMA 1979: 241: 2035-8
Daley KK, Nanda NC. Hyperglycemia alter myocardial infarction. N Eng J Med., 1976: 276: 262.
Vetter NJ, Adams W. Strange RC, Oliver MF, Initial metabolic and hormonal response to acute
myocardial infarction. Lancet 1974: 1: 284.
Kereiakes DJ. Myocardial infarction in diabetic patients. Cl Cardiol. 1985: 8: 446.
Rennert G, Saltz-Rennert H. Wandarman K, Weitzwah S. Size of acute myocardial infracts in patients
with diabetes mellitus. Am J. Cardiol, 1985: 55: 1629.
Gwilt 10, Petri VI. Lamb P, Matrass M. Pancoast BL. F fleets of intravenous insulin infusion on
mortality among diabetic patients after myocardial infarction. Br Heart J. 1984: 51: 626.
Brwilt PJ, Petri M. Lewis PW, et al. Myocardial infarct size and mortality in diabetic patients. Br
Heart J. 1985; 54: 466.
Oswald GA, Corcovam S. Yadkin JS. Prevalence and risks of hyperglycemia and undiagnosed
diabetes in patients with acute myocardial infarction, Lancet 1984: 1: 1264.
Smith JW, Marcus FI, Serokman R. Prognosis of patients with diabetes mellitus after acute
myocardial infarction. Am J. Cardiol. 1984: 54: 718.
Jaffar AS, Spadaro JJ, Schechtman K, Robrts R, Gellman KM, Sobel BK, Increased congestive heart
failure after acute myocardial infarction of modest extent in patients with myocardial infarction of
modest extent in patients with diabetes mellitus. Am Heat J. 1984: 108: 31.
Clark RS, English M, McNeill GP, cl al. Effect of intravenous infusion of insulin in diabetics with
acute myocardial infarction. Br Med J 1985: 291: 303.
Kennel WB, Lipids, diabetes and coronary' heart disease: insights from the Framingham study. Am
Heart J. 1985; 110: 1110.
14 Helmrich SP, Ragland DR, Leung RW, Paffenbarger RS Jr. Physical activity and reduced
occurrence of non-insulin dependent diabetes mellitus. N Eng J Med 1991: 325: 147-52.
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.
