ASSESSMENT OF COMPLICATIONS AND MORTALITY IN AMI PATIENTS WITH DIABETES AND WITHOUT DIABETES: A COMPARATIVE STUDY

Abstract

Aim: The aim of the present study was to compare complications and mortality in AMI patients with diabetes and without diabetes
Material & methods: A comparative study carried out at Department of Cardiology and General Medicine, during the duration of 24 months. Study population was adult patients admitted with Acute myocardial Infarction. 50 diabetic AMI and 50 non-diabetic AMI were
studied in the study for post AMI complication and mortality.
Results: Group-1 consists of 50 cases (35 males and 15 females) and group- 2 consists of 50 cases (40 males and 10 females). Most of the patients in both group diabetic and nondiabetic belonged to age group 45 – 54. The mean random blood sugar in diabetes group in male and female were 232.4±92.84 and 244.66±85.25 respectively. Maximum number of cases of Stable angina belonged to Non-Diabetic group (64%) and Unstable angina and MI belonged to Diabetic group (28% and16%) respectively. There was a significant association between types of AMI among the diabetic and the non-diabetic groups (P<0.001). Among the diabetic patients total 40 (80%) patients had complications. In the non diabetic patients complications were observed in 30 (60%). Pump failure was most common complication followed by sinus tachycardia in diabetic patients. Among the non diabetic patients, sinus tachycardia was most
commonly observed followed by bradycardia. There was a significant association between diabeties and complications (p<0.05).
Conclusion: The present study concluded that Post MI complications and Mortality is significantly more among diabetics compared to among non diabetics.