ABSTRACT
Objectives: To determine the frequency of Acute Myocardial Infarction in patients with Diabetes Mellitus, and short term survival in these patients
Methodology: This study included 100 patients, was carried out in department of Cardiology, Liaquat University Hospital Hyderabad. Diagnosed cases of type 2 Diabetes Mellitus [DM] requiring Hospitalization with ST elevation, myocardial Infarction and meeting the criteria were enrolled in the study. The final diagnosis of Acute Myocardial Infarction was made within 48 hours of admission. The blood glucose level and glycosylated haemoglobin [HbA1c] were checked to evaluate the glycemic status. The short term survival was evaluated by recording in hospital mortality and mortality during follow-up period of 30 days; by contacting at their residential address or contact number
Results: In the present study total 100 consecutive diabetic cases with acute Myocardial infarction were selected. The males patients outnumbered females. On the ECG and echocardiogram findings 39% patients had anterior wall MI. All male [n=65] patients had short term mortality of 27.68%, stratification showed that 6.15% was between 1 -10 days, 9.23% between 11-20 days and 12.30% mortality was found between 21-30 days. The corresponding figures in female [n=35] patients was 25.33%, stratification showed 8.57% mortality between 1-10 days, 5.71% seen between 11-20 days and in the 11.4% mortality was noted between 21-30 days
Conclusion: The short term mortality after acute myocardial infarction in diabetic patients is significantly high, both male and female suffer almost equally