Evaluation of outcome of acute anterior myocardial infarction in diabetic and non-diabetic patients at a tertiary care centre

Abstract

Background: One of the most frequent life-threatening illnesses in emergency hospital admissions is myocardial infarction (MI). The present study was conducted to evaluate outcome of acute anterior myocardial infarction in diabetic and non-diabetic patients. Materials & Methods: 108 acute anterior MI patients of both genders were divided into 2 groups of 54 each.
Group I had diabetics and group II had non- diabetics. Parameters such as Troponin-I, Serum creatinine, LVH and lipid profile was recorded. Risk factors and outcome was recorded in both groups. Results: Out of 108 patients, males were 60 and females were 48.The mean age was 52.95 ± 12.50 and 55.02 ± 12.97 years in diabetic and non-diabetic patients. Common risk factors were hypertension seen in 19 (35.18%) in diabetic group and 29 (53.07%) in non-diabetic group. Dyslipidaemia in 12 in diabetic group and 13 in nondiabetic group (almost similar in both group), smoking in 9 in diabetic group and 12 in non-diabetic group and family history of CVD in 4 in diabetic group and 7 in non-diabetic group. The difference was non- significant (P>0.05).
Conclusion: Diabetic patients have poor in-hospital outcomes after acute anterior MI. In-hospital outcomes of acute anterior myocardial infarction are worse in diabetic patients than in nondiabetic patients.