title: [Influence of diabetes mellitus on the management and prognosis of non-ST-elevation acute coronary syndrome].
abstract: The presence of diabetes mellitus worsens prognosis in acute coronary syndromes. The aim of our study was to analyze retrospectively the influence of diabetes mellitus on the management and prognosis of patients with non-ST-segment elevation acute coronary syndrome. We compared the baseline clinical characteristics of 273 patients (93 diabetic and 180 non-diabetic) admitted consecutively to our department with the diagnosis of non-ST-segment elevation acute coronary syndrome. In both groups, we assessed the medical treatment given during hospitalization and the use of coronary angiography, percutaneous coronary intervention, and coronary artery bypass grafting. Finally, we determined the incidence of heart failure during hospitalization and mortality at 28 days and 6 months in both groups. Multifactorial analysis revealed that diabetes was an independent risk factor for mortality during the study period. Data from our registry indicate that these findings were not associated with more extensive use of interventions in diabetic patients.
authors.affiliation: Servicio de Cardiología, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain. juliojferrer@hotmail.com
authors.forename: Julio J
authors.initials: JJ
authors.lastname: Ferrer Hita
authors.forename: Alberto
authors.initials: A
authors.lastname: Domínguez Rodríguez
authors.forename: Martín J
authors.initials: MJ
authors.lastname: García González
authors.forename: Pedro
authors.initials: P
authors.lastname: Abreu González
authors.forename: Miguel
authors.initials: M
authors.lastname: Bethencourt Muñoz
authors.forename: Francisco
authors.initials: F
authors.lastname: Marrero Rodríguez
mesh_terms: D000208:Acute Disease; D000368:Aged; D000789:Angina, Unstable / Q000401:mortality / Q000503:physiopathology / Q000628:therapy*; D048909:Diabetes Complications / Q000401:mortality / Q000628:therapy*; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000401:mortality / Q000503:physiopathology / Q000628:therapy*; D011379:Prognosis; D012307:Risk Factors; D013577:Syndrome