CLINICAL AND MEDICAL HISTORY FEATURES OF ACUTE MYOCARDIAL INFARCTION IN PATIENTS WITH DIABETES MELLITUS. EPIDEMIOLOGY STUDY
The aim of the present study was to investigate clinical and medical history features of the onset, course, and short-term outcomes of acute myocardial infarction (AMI) in patients with type 2 diabetes mellitus (T2DM). Original data were obtained from analytical information database of the World Hea...
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InterMedservice
2017-12-01
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| Series: | Евразийский Кардиологический Журнал |
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| Online Access: | https://www.heartj.asia/jour/article/view/258 |
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| author | S. A. Okrugin A. A. Garganeeva E. A. Kuzheleva |
| author_facet | S. A. Okrugin A. A. Garganeeva E. A. Kuzheleva |
| author_sort | S. A. Okrugin |
| collection | DOAJ |
| description | The aim of the present study was to investigate clinical and medical history features of the onset, course, and short-term outcomes of acute myocardial infarction (AMI) in patients with type 2 diabetes mellitus (T2DM). Original data were obtained from analytical information database of the World Health Organization epidemiology program “Acute Myocardial Infarction Register” for 2014 to 2015. A total of 1157 cases of AMI, registered in Tomsk in 2014-2015 except prehospital death episodes, were analyzed. Type 2 diabetes mellitus was present in medical history of 259 (22.4%) patients with AMI. Age-gender structure of patients with diabetes mellitus showed that women (60.2% and 35.4%, respectively; p<0.001) and individuals older than 60 years (76.1% and 57.8%, respectively; p<0.001) prevailed. Obtained results demonstrated that AMI in the presence of T2DM was characterized with more severe cardiovascular medical history, severe AMI course with frequent atypical onset, a few electrocardiographic findings, and very high lethality. The vast majority of fatal AMI cases were registered when patients were in general hospitals. The presence of significant number of women and older individuals among T2DM patients as well as high frequency of cases with atypical clinical onset of the disease and complicated medical history hampered AMI diagnosis. All above-said suggests the necessity of increase awareness of physicians working in general hospitals and emergency departments in regard to individuals with T2DM as potentially vulnerable to AMI development. |
| format | Article |
| id | doaj-art-1f70d1183e6046aaa6048c3af858e76c |
| institution | Matheson Library |
| issn | 2225-1685 2305-0748 |
| language | Russian |
| publishDate | 2017-12-01 |
| publisher | InterMedservice |
| record_format | Article |
| series | Евразийский Кардиологический Журнал |
| spelling | doaj-art-1f70d1183e6046aaa6048c3af858e76c2025-08-03T13:28:52ZrusInterMedserviceЕвразийский Кардиологический Журнал2225-16852305-07482017-12-0104526110.38109/2225-1685-2017-4-52-61257CLINICAL AND MEDICAL HISTORY FEATURES OF ACUTE MYOCARDIAL INFARCTION IN PATIENTS WITH DIABETES MELLITUS. EPIDEMIOLOGY STUDYS. A. Okrugin0A. A. Garganeeva1E. A. Kuzheleva2Cardiology Research Institute of Tomsk National Research Medical Center of the Russian Academy of Medical SciencesCardiology Research Institute of Tomsk National Research Medical Center of the Russian Academy of Medical SciencesCardiology Research Institute of Tomsk National Research Medical Center of the Russian Academy of Medical SciencesThe aim of the present study was to investigate clinical and medical history features of the onset, course, and short-term outcomes of acute myocardial infarction (AMI) in patients with type 2 diabetes mellitus (T2DM). Original data were obtained from analytical information database of the World Health Organization epidemiology program “Acute Myocardial Infarction Register” for 2014 to 2015. A total of 1157 cases of AMI, registered in Tomsk in 2014-2015 except prehospital death episodes, were analyzed. Type 2 diabetes mellitus was present in medical history of 259 (22.4%) patients with AMI. Age-gender structure of patients with diabetes mellitus showed that women (60.2% and 35.4%, respectively; p<0.001) and individuals older than 60 years (76.1% and 57.8%, respectively; p<0.001) prevailed. Obtained results demonstrated that AMI in the presence of T2DM was characterized with more severe cardiovascular medical history, severe AMI course with frequent atypical onset, a few electrocardiographic findings, and very high lethality. The vast majority of fatal AMI cases were registered when patients were in general hospitals. The presence of significant number of women and older individuals among T2DM patients as well as high frequency of cases with atypical clinical onset of the disease and complicated medical history hampered AMI diagnosis. All above-said suggests the necessity of increase awareness of physicians working in general hospitals and emergency departments in regard to individuals with T2DM as potentially vulnerable to AMI development.https://www.heartj.asia/jour/article/view/258acute myocardial infarctiondiabetes mellitus |
| spellingShingle | S. A. Okrugin A. A. Garganeeva E. A. Kuzheleva CLINICAL AND MEDICAL HISTORY FEATURES OF ACUTE MYOCARDIAL INFARCTION IN PATIENTS WITH DIABETES MELLITUS. EPIDEMIOLOGY STUDY Евразийский Кардиологический Журнал acute myocardial infarction diabetes mellitus |
| title | CLINICAL AND MEDICAL HISTORY FEATURES OF ACUTE MYOCARDIAL INFARCTION IN PATIENTS WITH DIABETES MELLITUS. EPIDEMIOLOGY STUDY |
| title_full | CLINICAL AND MEDICAL HISTORY FEATURES OF ACUTE MYOCARDIAL INFARCTION IN PATIENTS WITH DIABETES MELLITUS. EPIDEMIOLOGY STUDY |
| title_fullStr | CLINICAL AND MEDICAL HISTORY FEATURES OF ACUTE MYOCARDIAL INFARCTION IN PATIENTS WITH DIABETES MELLITUS. EPIDEMIOLOGY STUDY |
| title_full_unstemmed | CLINICAL AND MEDICAL HISTORY FEATURES OF ACUTE MYOCARDIAL INFARCTION IN PATIENTS WITH DIABETES MELLITUS. EPIDEMIOLOGY STUDY |
| title_short | CLINICAL AND MEDICAL HISTORY FEATURES OF ACUTE MYOCARDIAL INFARCTION IN PATIENTS WITH DIABETES MELLITUS. EPIDEMIOLOGY STUDY |
| title_sort | clinical and medical history features of acute myocardial infarction in patients with diabetes mellitus epidemiology study |
| topic | acute myocardial infarction diabetes mellitus |
| url | https://www.heartj.asia/jour/article/view/258 |
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