What question did this study set out to answer?

The aim is to assess mortality and morbidity in diabetic patients after acute myocardial infarction over five years.

January 12, 1988Acta Medica Scandinavica

Mortality and Morbidity During a Five‐year Follow‐up of Diabetics with Myocardial Infarction

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Why the study?

Does diabetes mellitus increase mortality and morbidity in patients with acute myocardial infarction?

Key Points

The aim is to assess mortality and morbidity in diabetic patients after acute myocardial infarction over five years.
Followed 787 patients with acute myocardial infarction from the Göteborg Metoprolol Trial.
Compared outcomes between 78 diabetic and 709 non-diabetic patients over 5 years.
Conducted multivariate analysis to determine the impact of diabetes on mortality and reinfarction.
Mortality rate was 55% in diabetic patients vs 30% in non-diabetic patients (p<0.001).
Reinfarction rate was 42% in diabetics compared to 25% in non-diabetics (p<0.001).
Diabetes was identified as an independent determinant of long-term mortality and reinfarction (p<0.001).

Structured PICO

Does diabetes mellitus increase mortality and morbidity in patients with acute myocardial infarction?

Population

787 patients with acute myocardial infarction originally participating in the Göteborg Metoprolol Trial

Intervention

Diabetes mellitus (exposure)

Comparator

No diabetes mellitus

Outcome

Mortality during 5 years' follow-uphard clinical

Diabetes mellitus is an independent determinant for significantly higher long-term mortality and reinfarction rates in patients following acute myocardial infarction.

Discussion

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Implication

Diabetes signals high-risk post-AMI prognosis; supports risk stratification but leaves optimal interventions open to prospective study.

Cite This Study

Herlitz et al. (1988) studied this question.

synapsesocial.com/papers/6a0fc9899e54838161fd3101 https://doi.org/10.1111/j.0954-6820.1988.tb16735.x

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Mortality and Morbidity During a Five‐year Follow‐up of Diabetics with Myocardial Infarction

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Mortality and Morbidity During a Five‐year Follow‐up of Diabetics with Myocardial Infarction

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Also Consider