Influence of diabetes on the outcome of acute coronary syndrome in Kuwait

Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre
Hisham SaadMohammad Zubaid

Abstract

To describe the baseline characteristics and management of patients with and without diabetes mellitus (DM) hospitalized with acute myocardial infarction (AMI) and to assess the influence of DM on hospital outcomes and hospital mortality. We analyzed data from a 6-month observational study (Kuwait Acute Coronary Syndrome Registry) of unselected patients admitted with a diagnosis of AMI over a period of 6 months, from December 2003 through May 2004. Of 1,295 patients enrolled, 609 (47%) were diabetics and 686 (53%) were non-diabetics. Diabetics were more likely to have a past history of coronary artery disease, hypertension and left ventricular systolic dysfunction than non-diabetics. There was less use of beta-blockers and aspirin in diabetics as compared to non-diabetics (62 vs. 71% and 95.5 vs. 97.9%, p < 0.03, for beta-blockers and aspirin, respectively). Left ventricular failure and cardiogenic shock occurred more often in diabetics compared to non-diabetics (16 vs. 7% and 5 vs. 3%, p < 0.001, for left ventricular failure and shock, respectively). The mortality rate was 6% for diabetics and 2% for non-diabetics (p < 0.001). DM is a major health problem among the adult population in Kuwait, and almost half the AMI population...Continue Reading

Citations

Jan 10, 2012·Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre·Djordje RadakPetar Otasevic
Dec 18, 2012·International Journal of Clinical Practice·M AlaroujN Elkum
Oct 16, 2015·Journal of the Renin-angiotensin-aldosterone System : JRAAS·Ahmad Al-SerriIbrahim Al-Rashdan

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