A Clinical Study of Hypertensive Emergencies

ABSTRACT

Introduction: Changes in human behavior and lifestyleover the last century have resulted in a dramatic increase inthe incidence of diabetes worldwide. Diabetes mellitus is animportant cardiovascular risk factor. The rate of death due tocardiovascular disease in diabetic patients is 2-4 times higherthan in non-diabetic population. In this study, we aimedto investigate the mortality rate among diabetic, Impairedfasting Glucose and Non-Diabetic groups who are havingacute myocardial infarction (AMI) during the first 7 days ofhospitalization.Material and methods: The study was conducted in R.N.T.Medical College and Associated Group of Hospitals inUdaipur (Rajasthan). The main catchment area was ruralwith few township and municipal area. This study involvedDepartment of General Medicine, Intensive cardiac CareUnit for patient’s selection and Departments of Biochemistry,Pathology and Radiology for the necessary laboratory testsand investigation data.Result: In our study we found that the mortality was 4% innon-diabetic group, 20% in diabetic group and 18% in patientswith impaired fasting glucose (IFG). Mortality in patientshaving IFG and DM were significantly higher compared toNON-DM patients.Conclusion: In conclusion, mortality in patients havingImpaired Fasting Glucose (IFG) and the Diabetes Mellitus(DM) during the acute phase (first 7 days) of MyocardialInfarction (AMI) were significantly higher compared to NONDM patients; and mortality in patients having IFG was likethat of patients having DM.