Assessment of outcome of high risk Non ST segment elevation Myocardial Infarction in diabetic and non diabetic patients

Abstract

Background:Diabetic patients with acute coronary syndrome appeared to have worse
prognosis than non-diabetic patients.The present study was conducted to assess outcomes of
high-risk non-ST elevationacute myocardial infarction in diabetic and non-diabetic patients.
Materials & Methods:136 patients of myocardial infarction of both genders were divided
into two groups. Group I were diabetic and group II were nondiabetic. Patients wereclassified
according to GRACE score into 3 categories high (>140),intermediate (70–140), and low (1–
70), the patients underwentearly emergency, or elective coronary angiography. The extent
and the severity of coronary lesionswere assessed by using Gensini score.
Results: group I and group II had 48 males and 44 males and 20 females and 24 females.
Hypertension was seen among 36 and 38, family history was positive in 6 and 8, smoking
was seen in 5 and 7 in group I and II respectively. The mean Gensini score was 230.4 and
172.4, Grace score was 168.3 and 102.7 and Syntax score was 18.3 and 14.2 in group I and II
respectively. In patients of high Gensini and syntax scores only diabetes wasan independent
predictor of the extent and severity of coronary arteryobstruction.
Conclusion: There was a significant correlation with angiographic complexity and
interventional outcome in patients with non-ST elevation myocardial infarction.