Key result
Known or newly diagnosed diabetes affects ~39% of patients admitted with AMI.
Why the study?
Diabetics have greater mortality during acute MI and higher morbidity postinfarction, necessitating assessment of diabetes prevalence as a risk factor for acute MI.
What is the prevalence of diabetes in patients presenting with acute myocardial infarction?
Cross-Sectional (n=104)
No
What is the prevalence of diabetes in patients presenting with acute myocardial infarction?
Absolute Event Rate: 38.5% vs 56.7%
A significant proportion of patients presenting with acute myocardial infarction have either known or newly diagnosed diabetes, highlighting the need for routine screening in this population.
Diabetes screening in acute MI may aid risk stratification; leaves open independent prognostic impact in prospective cohorts.
Background: Diabetics experience a greater mortality during the acute phase of myocardial infarction (MI) and a higher morbidity in the postinfarction period. This study was conducted to assess the prevalence of diabetes as a risk factor for acute myocardial infarction.Methods: Detailed demographic details such as age, gender, weight, BMI, blood pressure, smoking and alcohol details, previous clinical and medical history were noted for all the patients. Blood was collected from the patients for random blood glucose levels and HbA1c levels. On the 2nd and the 5th days of admission, fasting blood glucose levels were measured.Results: 63.5% patients were males and only 36.5% of them were females with the average age being around 66 years. Most of the patients who were admitted to the hospital with MI were obese or overweight with elevated cholesterol and triglyceride levels. Out of the 104 patients, 59 (56.7%) had no diabetics, 29 (27.9%) were known diabetics. 11 (10.6%) of them were identified as diabetic during the hospitalization.Conclusions: The chronic and acute hyperglycaemia associated to acute coronary syndromes, mainly in acute myocardial infarction is an independent and determinant factor in the outcome for patients with and without diabetes mellitus.
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Mohanty et al. (2016) conducted a cross-sectional in Acute myocardial infarction (n=104). Diabetes mellitus vs. Non-diabetic patients was evaluated on Prevalence of diabetes (known and newly diagnosed). Among patients admitted with acute myocardial infarction, the prevalence of diabetes was 38.5%, comprising 27.9% with previously known diabetes and 10.6% newly diagnosed during hospitalization.
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