title: [Primary angioplasty in diabetic and non-diabetic patients with acute myocardial infarction: Predictors of mortality].
abstract: OBJECTIVE
  Diabetes mellitus is one of the major risk factors for coronary artery disease. The aim of this study was to evaluate in-hospital mortality and during follow-up of diabetic patients with acute myocardial infarction treated with primary angioplasty and to determine its predictors.
  
  
  METHODS
  Eight hundred and sixty six patients were retrospectively enrolled from January 1993 to December 2013. A hundred patients with a diagnosis of diabetes were evaluated. The median follow-up was 121 months in 90% of the population.
  
  
  RESULTS
  Of the 100 diabetic patients included (11.56%) 86% were male and 50% older than 70 years. Overall, 76% presented with a Killip-Kimball grade of 1 at admission and 16% presented with a Killip-Kimball 4. The most frequent location of myocardial infarction was anterior and 65% had 2 or more coronary vessel disease. In-hospital mortality was 15%. The only independent variable significantly associated was the Killip-Kimball at admission. Mortality during follow up was 35% and its independent predictors were: age, Killip-Kimball at admission and use of angiotensin-converting enzyme inhibitors Interestingly, in the non-diabetic group, Killip-kimball at admission failed to predict long-term mortality
  
  
  CONCLUSIONS
  This group of diabetic patients was older, and with a higher prevalence of 2 or more vessel disease. Cardiogenic shock on admission was the only independent predictor of in-hospital death and along with age and angiotensin-converting enzyme inhibitor use, an independent predictor of mortality during long term follow-up.
authors.affiliation: Servicio de Hemodinamia y Cardioangiología Intervencionista, Hospital Británico de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina; Servicio de Hemodinamia y Cardioangiología Intervencionista, Hospital Alemán , Ciudad Autónoma de Buenos Aires, Argentina. Electronic address: jagalvarez@intramed.net.
authors.forename: José
authors.initials: J
authors.lastname: Alvarez
authors.affiliation: Servicio de Hemodinamia y Cardioangiología Intervencionista, Hospital Británico de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina; Servicio de Hemodinamia y Cardioangiología Intervencionista, Hospital Alemán , Ciudad Autónoma de Buenos Aires, Argentina.
authors.forename: Guillermo
authors.initials: G
authors.lastname: Migliaro
authors.affiliation: Servicio de Hemodinamia y Cardioangiología Intervencionista, Hospital Británico de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina; Servicio de Hemodinamia y Cardioangiología Intervencionista, Hospital Alemán , Ciudad Autónoma de Buenos Aires, Argentina.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Leiva
authors.affiliation: Servicio de Cardiología, Hospital Británico de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.
authors.forename: Maria Luz
authors.initials: ML
authors.lastname: Fernández-Recalde
authors.affiliation: Servicio de Hemodinamia y Cardioangiología Intervencionista, Hospital Británico de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina; Servicio de Hemodinamia y Cardioangiología Intervencionista, Hospital Alemán , Ciudad Autónoma de Buenos Aires, Argentina.
authors.forename: Brian
authors.initials: B
authors.lastname: Donato
authors.affiliation: Servicio de Hemodinamia y Cardioangiología Intervencionista, Hospital Británico de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina; Servicio de Hemodinamia y Cardioangiología Intervencionista, Hospital Alemán , Ciudad Autónoma de Buenos Aires, Argentina.
authors.forename: Pablo
authors.initials: P
authors.lastname: Baglioni
authors.affiliation: Servicio de Cardiología, Hospital Alemán , Ciudad Autónoma de Buenos Aires, Argentina.
authors.forename: Alejandra
authors.initials: A
authors.lastname: Morales-Lezica
authors.affiliation: Servicio de Cardiología, Hospital Británico de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.
authors.forename: Christian
authors.initials: C
authors.lastname: Smith
authors.affiliation: Servicio de Hemodinamia y Cardioangiología Intervencionista, Hospital Británico de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina; Servicio de Hemodinamia y Cardioangiología Intervencionista, Hospital Alemán , Ciudad Autónoma de Buenos Aires, Argentina.
authors.forename: Jorge
authors.initials: J
authors.lastname: Allin
mesh_terms: D000368:Aged; D017130:Angioplasty; D003430:Cross-Sectional Studies; D048909:Diabetes Complications / Q000401:mortality* / Q000601:surgery*; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000401:mortality* / Q000601:surgery*; D011379:Prognosis; D012189:Retrospective Studies
keywords: Angioplastia primaria; Argentina; Diabetes mellitus; Diabetes mellitus ;Acute Myocardial Infarction; Infarto agudo de miocardio; Primary Angioplasty