Key result
Type 2 diabetes affects 26% of STEMI patients and is linked to higher Killip classes.
Why the study?
Diabetes mellitus significantly increases the risk of cardiovascular disease, but the frequency of diabetes mellitus in patients presenting with acute coronary syndrome required evaluation at this institution.
Cross-Sectional (n=321)
No
In a cohort of STEMI patients in Afghanistan, the frequency of diabetes mellitus was 26% and was significantly associated with Killip class.
Diabetes associated with higher Killip class in STEMI; hypothesis-generating and should not change practice without prospective validation.
Background: A significant risk of atherosclerosis is diabetes mellitus which ultimately induces cardiovascular disease, mainly affecting coronary arteries. Patients with diabetes have a risk for coronary events similar to those without diabetes who have already had an event, and conversely, many patients with established coronary artery disease have diabetes or prediabetes. The study looks at the frequency of diabetes mellitus in patients presenting with the acute coronary syndrome in the French Medical Institute. Methods: A cross-sectional study design was utilized to conduct this study. Three hundred twenty-one individuals with acute myocardial infarction (AMI) were screened and presented to the Department of Cardiology of the French Medical Institute for Mothers and Children in Kabul, Afghanistan, from January 1, 2019, to December 30, 2019. All patients of any gender with ST Elevated Myocardial Infarction (STEMI) were included in the study and presented to our setting during the study period. Data were collected retrospectively from the patients' medical record files and then analyzed by logistic regression to look for results. Results: Three hundred twenty-one patients were included in the study, 250 (78%) were males, and 71 (22%) were females. The mean age of the study participants was 57.5 years. The frequency of diabetes mellitus was 26%. There is a strong association between Killip classes and diabetic status (p-value=<0.04). Hypertension and heart failure were not significantly associated with diabetes in STEMI patients.
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Ihsanullah Darmal (2022) conducted a cross-sectional in ST Elevated Myocardial Infarction (STEMI) (n=321). Diabetes Mellitus vs. Non-diabetic was evaluated on Frequency of diabetes mellitus. Among patients presenting with ST-segment elevation myocardial infarction, the frequency of type II diabetes mellitus was 26%, and diabetic status was significantly associated with higher Killip classes (p=0.04).
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