Acute myocardial infarction in diabetic patients according to blood glucose levels on admission, a multicenter study
Keywords:
MYOCARDIAL INFARCTION, DIABETES MELLITUS, ACUTE CORONARY SYNDROME, RISK FACTORSAbstract
Background: diabetic patients with acute myocardial infarction have more complications and higher mortality.
Objective: to describe clinical and epidemiological aspects in diabetic patients with acute myocardial infarction and their possible relationship with glycemia values on admission.
Methods: a descriptive, retrospective study was carried out with 332 diabetic patients with acute myocardial infarction according to blood glucose levels on admission. The blood glucose cutoff point was 7,1 mmol/L. Qualitative variables were reported as percentages and quantitative variables as mean and standard deviation. To assess the relationship between variables of interest (qualitative), Pearson's chi-square test was applied. Comparison average age according to sex was performed using Student's t-test. The level of significance α = 0,05 was used in all hypothesis tests.
Results: the average age was 67,8 ± 10,5 years. 31,9 % were between 71 and 80 years old and 77,4 % were hypertensive. In patients with glycemia on admission ≥7,1 mmol/L, anterior topography predominated (22,5 %). KK IV (p = 0,004) and atrioventricular block (p = 0,031) were significantly associated with these glycemia values. 40,3 % presented some degree of heart failure during admission.
Conclusions: diabetic patients with acute myocardial infarction were described, who had a significant association between complications and glycemia values on admission ≥7,1 mmol/L.
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