Modeling of in hospital mortality determinants in myocardial infarction patients, with and without type 2 diabetes, undergoing pharmaco-invasive strategy: the first national report using two approaches in Iran

Diabetes Research and Clinical Practice
Ali AhmadiHomeira Sajjadi

Abstract

This study was conducted to compare the characteristics of patients, with and without diabetes mellitus, presenting with myocardial infarction (MI) and treated with coronary artery bypass grafting (CABG), percutaneous coronary intervention (PCI), or thrombolytic therapy. Factors related to mortality due to MI in Iran were also determined. This study was a prospective analysis. To analyze the data, Stata software (chi square, t test, Cox and logistic regression) was used. Participants were patients hospitalized for MI for the first time in 540 hospitals from April, 2012 to March, 2013. Out of 20,750 patients with MI, 461 2 (22.3%) had type 2 diabetes. MI case fatality rate was 13.22% (95%CI: 12.24-14.19) and 11.78% (95%CI: 11.28-12.27) in patients with and without diabetes, respectively. The rates of CABG, PCI, and thrombolytic therapy use were 4.2%, 8%, and 58% in patients with diabetes, and 2.1%, 6.5%, and 55% in patients without diabetes. The odds ratio of mortality for ST segment elevation myocardial infarction (STEMI) and chest pain resistant to treatment was, respectively, 6.3 and 2.8 in those with diabetes, and 3.9 and 3.7 in patients without diabetes. The hazard ratio of mortality for gender, education, smoking, left bun...Continue Reading

References

Dec 1, 1993·Journal of the American College of Cardiology·G ZuanettiM G Franzosi
Aug 10, 2000·Journal of the American College of Cardiology·T HammoudM G Bourassa
Oct 29, 2003·Archives of Internal Medicine·Christopher B GrangerUNKNOWN Global Registry of Acute Coronary Events Investigators
Feb 25, 2009·Diabetic Medicine : a Journal of the British Diabetic Association·U BulugahapitiyaI Idris
Oct 12, 2010·International Journal of Epidemiology·Shanthi MendisUNKNOWN Writing group on behalf of the participating experts of the WHO consultation for revision of WHO definition of myocardial in
Jan 18, 2011·European Journal of Internal Medicine·Saman RasoulUNKNOWN Zwolle myocardial infarction study group
Aug 28, 2012·European Heart Journal·UNKNOWN Task Force on the management of ST-segment elevation acute myocardial infarction of the European Society of Cardiology (ESC)Doron Zahger
Apr 25, 2013·Cardiovascular Journal of Africa·Churchill Lukwiya Onen
Jan 21, 2014·Diabetes Research and Clinical Practice·Bola F EkezueC M Blanchette
Jan 23, 2014·Diabetes Research and Clinical Practice·Alireza EsteghamatiManouchehr Nakhjavani
Mar 19, 2014·Diabetes Research and Clinical Practice·L GuariguataJ E Shaw

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Citations

Apr 1, 2017·Current Opinion in Cardiology·Niki KatsikiDimitri P Mikhailidis
Jun 23, 2018·Future Cardiology·Mohammad Amin ShahrbafFarbod Zahed Tajrishi

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