Key result
The presence of diabetes mellitus was an independent predictor of right ventricular dysfunction post-STEMI, conferring an approximately threefold greater odds of its presence (OR 2.78).
Why the study?
Does the presence of diabetes mellitus predict right ventricular dysfunction in patients post-STEMI?
Population
106 consecutive patients post STEMI successfully revascularized via primary percutaneous coronary…
Comparison
Presence of diabetes mellitus (exposure) vs Absence of diabetes mellitus
Design
Cohort
Follow-up
48-72 hours
Authors
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DM may support closer post-STEMI RV monitoring in diabetics; hypothesis-generating and requires prospective confirmation.
Observational (n=106)
No
Does the presence of diabetes mellitus predict right ventricular dysfunction in patients post-STEMI?
Odds Ratio: 2.78 (95% CI 1.12–6.87)
Absolute Event Rate: 45% vs 22%
p-value: p=0.03
Diabetes mellitus is an independent predictor of right ventricular dysfunction following STEMI, suggesting a need for closer monitoring of RV function in diabetic patients.
Roifman et al. (2016) conducted an observational in ST-elevation myocardial infarction (STEMI) (n=106). Diabetes mellitus vs. No diabetes mellitus was evaluated on Presence of right ventricular dysfunction (RVEF < 50%) (OR 2.78, 95% CI 1.12, 6.87, p=0.03). The presence of diabetes mellitus was an independent predictor of right ventricular dysfunction post-STEMI, conferring an approximately threefold greater odds of its presence (OR 2.78).
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