Regional left ventricular functions in diabetics with acute myocardial infarction

ABSTRACT

The present study comprised 48 patients with acute myocardial infarction, divided into a test group [32 diabetic patients] and a control group [18 non-diabetic patients without other identifiable risk factors]. Left ventricular segmental wall motion was evaluated in all patients by the use of 2D echocardiography. The study revealed that in diabetic patients with acute myocardial infarction total segmental score and wall motion index are both significantly increased in patients with anterior than in those with inferior myocardial infarction, in patients with heart failure than in those without heart failure, and in the whole diabetic group as compared with non- diabetic. The institution of thrombolytic therapy at the proper time resulted in a significant improvement in the total segmental core and wall motion index, in diabetic patients with acute myocardial infarction