Pavlović, Jovana; Đinđić, Boris; Pavlović, Andrej; Pavlović, Jovica; Kostić, Marija
September 2013
Acta Medica Medianae;Sep2013, Vol. 52 Issue 3, p5
Academic Journal
This study examines the influence of diabetes mellitus type 2 (DM type 2) on morbidity and mortality in patients after acute myocardial infarction (AMI). The study included 261 patients with acute myocardial infarction, treated at the General Hospital in Leskovac during the period from January to December 2007. The incidence of diabetes mellitus in patients with AMI was 28.4% (74 patients). The group of patients with both diabetes mellitus and AMI had an equal number of men and women (37), whereas the group of patients without DM type 2 had significantly more males (118, 63.1%) than females (69, 36.9%) (p<0.05). The average age in diabetics with acute myocardial infarction was 66.34±9.34 years, and in non-diabetics 64.29±11.48 years. The youngest diabetic with DM type 2 and acute myocardial infarction was 42, while the youngest non-diabetic was 37 years old. The oldest subject with diabetes and acute myocardial infarction was 82, whereas the oldest subject without DM type 2 was 88 years old. The majority of diabetics with acute myocardial infarction (40.5%) were in the group ranging from 70-79 years of age, while 30.5% of non-diabetics were in the group ranging from 60-69 years of age. Diabetes duration was usually 1-5 years (25.7% of patients). It is characteristic that in 13.5% of patients with acute myocardial infarction, DM type 2 was diagnosed at the time of infarction. The majority of subjects (58.10%) were treated with oral hypoglycemics. The incidence of positive anamnesis for the existence of early cardiovascular disease was much higher in diabetics (68.9%), whereas the proportion of active smokers was considerably lower in diabetics (31.0%). Hypertension was more frequent in diabetics (71.6%). Heart failure was statistically more frequent in patients with both acute myocardial infarction and DM type 2. Fatal outcome was registered more often in the group of subjects with DM type 2 (21.6%), with regard to the group of patients without diabetes mellitus (7.0%). Acta Medica Medianae 2013;52(3):5-11.


Related Articles

  • Number of Coronary Heart Disease Risk Factors and Mortality in Patients With First Myocardial Infarction. Canto, John G.; Kiefe, Catarina I.; Rogers, William J.; Peterson, Eric D.; Frederick, Paul D.; French, William J.; Gibson, C. Michael; Pollack Jr, Charles V.; Ornato, Joseph P.; Zalenski, Robert J.; Penney, Jan; Tiefenbrunn, Alan J.; Greenland, Philip // JAMA: Journal of the American Medical Association;11/16/2011, Vol. 306 Issue 19, p2120 

    The article discusses a study on the link between the number of risk factors for coronary heart disease (CHD) and hospital mortality in patients with first myocardial infarction (MI). Data from the National Registry of Myocardial Infarction (NRMI) in the U.S. from 1994 to 2006 were used in the...

  • Baroreflex sensitivity and heart rate variability as predictors of cardiovascular outcome in hypertensive patients with multiple risk factors for coronary disease. Collier, D J; Bernardi, L; Angell-James, J E; Caulfield, M J; Sleight, P // Journal of Human Hypertension;Aug2001 Supplement, Vol. 15 Issue 8, pS57 

    Focuses on predictors of cardiovascular outcome in hypertensive patients with multiple risk factors for coronary disease. Prediction of outcome in patients of left ventricular failure by baroreflex function; Comparison between baroreflex sensitivity in post-myocardial infarct patients and left...

  • Why you have to treat an M.I. false alarm as a high risk. Lee, Anthony A. // RN;Jul77, Vol. 40 Issue 7, p52 

    Suggests the needs for patients to consider patients suspected of having myocardial infarction (MI) as high risk patients. Details on the findings of study conducted at Stanford University Medical Center about high risk MI patients; Emergency department care for suspected MI patients; Discharge...

  • HITTING THE HYPERTENSION TARGET. Daly, Heather // Practice Nurse;6/11/2004, Vol. 27 Issue 11, p28 

    Explains why blood pressure control means educating patients on physiology, cardiovascular risks and treatment compliance. Risk factors for coronary heart disease; Prerequisite for tackling hypertension; Importance for practice nurses to familiarize themselves with the standards set by the...

  • Working and hypertension: gaps in employment not associated with increased risk in 13 European countries, a retrospective cohort study. Rumball-Smith, Juliet; Nandi, Arijit; Kaufman, Jay S. // BMC Public Health;2014, Vol. 14 Issue 1, p1527 

    Background There is growing evidence to suggest unemployment has a role in the development and incidence of cardiovascular disease. This study explores the contribution of breaks in employment to the development of hypertension, a key risk factor for coronary heart disease. Methods We use data...

  • OBESITY AND CARDIOVASCULAR DISEASES IN A HIGH-RISK POPULATION: EVIDENCE-BASED APPROACH TO CHD RISK REDUCTION. Kwagyan, John; Retta, Tamrat M.; Ketete, Muluemebet; Bettencourt, Cristina N.; Maqbool, Abid R.; Shichen Xu; Randall, Otelio S. // Ethnicity & Disease;Spring2015, Vol. 25 Issue 2, p208 

    Background:Obesity is becoming a worldwide public health problem and it is expected to worsen as its prevalence is increasing in children and adolescents. This report examined the distribution of major cardiovascular disease (CVD) risk factors and the effect of lifestyle changes on coronary...

  • Respiratory gymnastics, an opportunity for the exercise capacity optimization in people with essential hypertension (Note I). Jianu, Anca; Macovei, Sabina // Palestrica of the Third Millennium Civilization & Sport;Jan-Mar2013, Vol. 14 Issue 1, p45 

    Essential hypertension represents both a cardiovascular disease and a major risk factor for the coronary atherosclerosis emergence. The engendered circulatory complications - stroke, myocardial infarction, renal failure - are becoming increasingly common when blood pressure values are higher....

  • Interventions to Reduce Cardiovascular Risk Factors in Children and Adolescents. Washington, Reginald L. // American Family Physician;4/15/1999, Vol. 59 Issue 8, p2211 

    Discusses medical interventions to reduce cardiovascular risk factors in children and adolescents. Background on coronary heart disease; Information on cigarette smoking, hypertension and other risk factors; Counseling the at-risk family about cardiovascular health.

  • Polyvascular atherosclerotic disease and multiple risk factors: focus on arterial hypertension. Begic, Alden; Bico, Amina; Lekic, Lana; Tanovic, Admir; Bejtovic, Demir; Kulic, Mehmed; Dilic, Mirza // Cardiologia Croatica;Sep/Oct2015, Vol. 10 Issue 9/10, p37 

    INTRODUCTION: The goal of this study is to evaluate the role of arterial hypertension (HTA) in patients (pts) with atherosclerotic disease (AthD) of coronary arteries (CAD), carotid arteries (CdA) and iliacfemoro-popliteal (IFP) arteries. PATIENTS AND METHODS: The study included a total of 311...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics