Key result
Type 2 diabetic patients presenting with acute coronary syndrome had a higher prevalence of multi-vessel angiographic lesions (78% vs 59%) compared to non-diabetic patients.
Why the study?
Acute coronary syndrome carries a pejorative prognosis, and type 2 diabetes remains the main risk factor for ischemic heart disease.
What are the epidemiological, electrical, and angiographic characteristics of acute coronary syndromes in type 2 diabetic patients compared to non-diabetics?
Cross-Sectional (n=169)
No
What are the epidemiological, electrical, and angiographic characteristics of acute coronary syndromes in type 2 diabetic patients compared to non-diabetics?
Absolute Event Rate: 78% vs 59%
p-value: p=<0.01
Type 2 diabetic patients presenting with acute coronary syndrome have a high burden of diffuse, multivessel coronary disease and left ventricular dysfunction.
Provides descriptive baseline data on acute coronary syndrome presentations in diabetic patients; leaves open whether these angiographic profiles.
Background: Acute coronary syndrome is a medical emergency with a pejorative prognosis linked to many early mechanical complications. Type 2 diabetes is currently a huge public health problem and remains the main risk factor for ischemic heart disease. Purpose: The objective of the study was to determine the epidemiological, electrical and angiographic characteristics of acute coronary syndromes in the type 2 diabetic patient admitted to our service. Method: It is a descriptive and analytical data collection study conducted between August 2019 and February 2020 on 169 patients divided into 71 diabetic and 98 non-diabetic patients. Results: The average age of the diabetic patient was 58 years ± 8.7 years with male predominance (p<0.04). The age of diabetes was 8.7± 5.7 years with an average glycated hemoglobin of 8.7%. The main risk factors for diabetes were HTA in 58.6% and dyslipidemia in 88%. Left ventricular dysfunction was present in 52% of patients with electrically significant anterior involvement (p=0.05). Angiographic lesions were diffuse and predominantly tritroncular in 59% (p<0.01) of cases increasing the risk of morbi-mortality. Conclusion: ACS in diabetic type 2 affect a younger population, the involvement is more often stenosis or occlusion and the lesions are multitruncated in the majority anterior.
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Othende et al. (2023) conducted a cross-sectional in Acute Coronary Syndrome (n=169). Type 2 Diabetes vs. Non-diabetic patients was evaluated on Multi-vessel angiographic lesions (p=<0.01). Type 2 diabetic patients presenting with acute coronary syndrome had a higher prevalence of multi-vessel angiographic lesions (78% vs 59%) compared to non-diabetic patients.
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