[Myocardial infarction in patients with diabetes: comparative series of 85 patients with 16 patients without diabetes].
OBJECTIVE
The aim of this study was to determine the clinical characteristics, treatment and development of myocardial infarction in patients with diabetes.


METHODS
From September 1999 through December 2003, 191 patients with myocardial infarction were hospitalized in the cardiology department of the Mohamed V military teaching hospital in Rabat, Morocco. They included 85 patients with diabetes (D) and 106 without it (ND).


RESULTS
Comparison of these two groups showed a higher percentage of women among the patients with diabetes. Hypertension was more frequent in patients with diabetes, while smoking was frequent in both groups. The clinical picture was similar in both groups, as was the frequency of left ventricular dysfunction, determined by transthoracic echocardiography. Coronary angiography showed damage in three arteries was more common in the D group, while single-artery damage was more frequent in the ND group. Treatment was similar in both groups. In all, 49 patients underwent myocardial revascularization, and its method (angioplasty or aortic surgery) did not differ by group. Neither hospital mortality nor other complications differed between the two groups, with a follow-up of 3.98 +/- 1.99 years for ND patients and 2.68 +/- 1.32 years for D patients.


CONCLUSIONS
Correct management of myocardial infarction and its cardiovascular risk factors, development of means of revascularization, and close collaboration between cardiologists and endocrinologists should improve prognosis for patients with diabetes who have myocardial infarctions.
Sabry
Mohamed
M
Service de cardiologie de l'HMI Mohammed V, Rabat, Maroc. mohamedsabry260@hotmail.com
Benyass
Artif
A
Lakhal
Zouhair
Z
Raissouni
Maha
M
Kendoussi
Mohamed
M
Moustaghfir
Abdelhamid
A
Zbir
Mehdi
M
Hda
Abdelhamid
A
Boukili
Abdelali
A
Hamani
Ahmed
A
D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D048909:Diabetes Complications; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D017052:Hospital Mortality; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000175:diagnosis / Q000401:mortality / Q000601:surgery / Q000628:therapy; D009204:Myocardial Revascularization; D011379:Prognosis; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects; D013997:Time Factors; D018487:Ventricular Dysfunction, Left / Q000150:complications