[Myocardial infarct in diabetes mellitus patients. A long-term follow-up].
The acute phase and long-term evolution of 249 patients diagnosed as having acute myocardial infarction and admitted to our hospital during the period 1981 to 1983, were studied. They were classified in 2 groups: A (non-diabetic patients) and B (diabetic patients). Several variables were analysed in order to determine the differences between both groups. The most accentuated being: diabetic patients, female sex, old age, blood hypertension history, cardiac failure, re-extended infarction. The inter-hospital mortality was higher in group B, mainly as a result of cardiogenic shock and left cardiac failure. An out-patients follow-up of acute phase survivors was carried out, between 1 to 96 months, with mean follow-up of 46.7 month in group A and 38.4 in group B, at 8 years the actuarial rate being 77.3% and 55.9% respectively. We conclude that diabetic patients with myocardial infarction register a higher long- and short-time mortality.
Hernández Lanchas
C
C
Unidad de Cardiología, Hospital del INSALUD, Talavera de la Reina, Toledo.
Parrilla Herranz
P
P
Llorente Domingo
P
P
Aparicio Martínez
J C
JC
Arranz Nieto
M J
MJ
Durán Pérez-Navarro
A
A
D000206:Actuarial Analysis; D003922:Diabetes Mellitus, Type 1 / Q000453:epidemiology* / Q000401:mortality; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology* / Q000401:mortality; D005500:Follow-Up Studies; D006801:Humans; D009203:Myocardial Infarction / Q000453:epidemiology* / Q000401:mortality; D013030:Spain / Q000453:epidemiology; D016019:Survival Analysis; D013997:Time Factors
Infarto de miocardio en pacientes con diabetes mellitus. Seguimiento a largo plazo.