Copyright © 1988 by the European Society of Cardiology.
© 1988 The European Society of Cardiology
Myocardial infarction in patients with diabetes mellitus
Department of Cardiology, Kärnsjukhuset S-541 85 Skövde, Sweden
Received 28 May 1987; revised 2 September 1987; .
Abstract
The occurrence of diabetes mellitus and its complications and prognosis in an unselected consecutive series of patients with myocardial infarction (MI) was studied. Out of 341 patients 81 (24%) haddiabetes. Comparisons were made between patients with and without diabetes. Age was higher and female sex more common among patients with diabetes. A considerable proportion of patients with diabetes were on digitalis when admitted (51%) compared to 20% of those without. Ventricular tachy arrhythmias requiring treatment did not differ between the two groups. High-degree A V-block was considerably more common among patients with diabetes (19%) than those without (7% P<0.001). Mortality was higher in diabetic than in non-diabetic patients both during the hospital phase (25%, vs. 16% P < 0–02) and during one year of follow-up (53% vs. 28% P < 0.001). Diabetes was an independent prognostic risk factor for death (P< 0–01). Fatal reinfarction was more common among diabetic patients (30%) than those without (14%; P<0.05). In conclusion diabetics with MI have a poor prognosis despite improvements in coronary care. The high late mortality is to a large extent related to a high proportion of fatal reinfarctions.
Key Words: Diabetes • myocardial infarction • prognosis • mortality • complications
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