IN-HOSPITAL EARLY COMPLICATIONS IN DIABETICS VS NON DIABETICS WITH ACUTE ST ELEVATION MYOCARDIAL INFARCTION AGE GROUP 30-70 YEARS

Objective: To determine in hospital early complications in diabetics’ vs non diabetics with acute ST elevation myocardial infarction. Study Design: Comparative cross-sectional study. Place and Duration of Study: The study was conducted in emergency departments and adult cardiology wards of Arm...

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Autores principales: Gul Khan, Imtiaz Ahmed Khan, Fahad Ahmad Khan, Shaheer Farhan, Javeria Kamran, Anam Fatima Janjua, Naseer Ahmed Samore, Sadaf Khan, Sohail Aziz, Abdul Hameed Siddiqui
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Publicado: Army Medical College Rawalpindi 2020
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Acceso en línea:https://doaj.org/article/25c03054c89f436ca5926c33f48aeeb4
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spelling oai:doaj.org-article:25c03054c89f436ca5926c33f48aeeb42021-12-02T19:18:03ZIN-HOSPITAL EARLY COMPLICATIONS IN DIABETICS VS NON DIABETICS WITH ACUTE ST ELEVATION MYOCARDIAL INFARCTION AGE GROUP 30-70 YEARSdoi.org/10.51253/pafmj.v70iSuppl-4.60230030-96482411-8842https://doaj.org/article/25c03054c89f436ca5926c33f48aeeb42020-12-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/6023https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To determine in hospital early complications in diabetics’ vs non diabetics with acute ST elevation myocardial infarction. Study Design: Comparative cross-sectional study. Place and Duration of Study: The study was conducted in emergency departments and adult cardiology wards of Armed Forces Institute of Cardiology/National Institute of Heart Diseases, from Aug to Nov 2019. Methodology: A comparative cross sectional study was conducted on 380 patients (190 patients with diabetes and 190 patients without diabetes) who presented with acute ST-Elevation MI in age group 30 to 70 years to emergency department of Armed Forces Institute of Cardiology/National Institute of Heart Disease during specified period. Patients with rescue PCI and new onset of LBBB were also included. Patients with age group lesser than 30 years or greater than 70 years with STEMI were excluded. Sampled with consecutive non probability technique in patients was assessed with ECG, cardiac enzymes, transthoracic echocardiography, renal Doppler and RFTs. All patients were admitted in wards and were followed up during hospital stay. Patients were evaluated and their record of Primary PCI and thrombolysis was also noted. Data was entered and analyzed with SPSS-23. Results: A total of 380 patients with STEMI were included in this study consisting of 292 (76.8%) male and 88 (23.1%) female from 30 to 70 years. The patients were divided in two groups i.e. diabetic and non-diabetic, 190 patients were included in each group. It was found that frequency of ST-Elevation MI was higher in diabetic group as compared to non-diabetic group. All the patients were analyzed for complications occurred after STElevation MI. LV failure, Brady arrhythmias, atrial fibrillation, post MI angina and cardiogenic shock were the main complications noted. It was found that all these complications are more in diabetic group post MI angina which occurred most frequently in non-diabetic group. Conclusion: In our study we observed that left ventricular failure and arrhythmias were the major complications. Mortality was higher in diabetic patients than non-diabetic patients. In both groups PPCI and SK reduced mortality. Post MI angina were found more frequent in non-diabetic group.Gul KhanImtiaz Ahmed KhanFahad Ahmad KhanShaheer FarhanJaveria KamranAnam Fatima JanjuaNaseer Ahmed SamoreSadaf KhanSohail AzizAbdul Hameed SiddiquiArmy Medical College Rawalpindiarticlecomplicationsdiabeticin hospitalmortalitynon-diabeticstreptokinaseMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 4, Pp 776-780 (2020)
institution DOAJ
collection DOAJ
language EN
topic complications
diabetic
in hospital
mortality
non-diabetic
streptokinase
Medicine
R
Medicine (General)
R5-920
spellingShingle complications
diabetic
in hospital
mortality
non-diabetic
streptokinase
Medicine
R
Medicine (General)
R5-920
Gul Khan
Imtiaz Ahmed Khan
Fahad Ahmad Khan
Shaheer Farhan
Javeria Kamran
Anam Fatima Janjua
Naseer Ahmed Samore
Sadaf Khan
Sohail Aziz
Abdul Hameed Siddiqui
IN-HOSPITAL EARLY COMPLICATIONS IN DIABETICS VS NON DIABETICS WITH ACUTE ST ELEVATION MYOCARDIAL INFARCTION AGE GROUP 30-70 YEARS
description Objective: To determine in hospital early complications in diabetics’ vs non diabetics with acute ST elevation myocardial infarction. Study Design: Comparative cross-sectional study. Place and Duration of Study: The study was conducted in emergency departments and adult cardiology wards of Armed Forces Institute of Cardiology/National Institute of Heart Diseases, from Aug to Nov 2019. Methodology: A comparative cross sectional study was conducted on 380 patients (190 patients with diabetes and 190 patients without diabetes) who presented with acute ST-Elevation MI in age group 30 to 70 years to emergency department of Armed Forces Institute of Cardiology/National Institute of Heart Disease during specified period. Patients with rescue PCI and new onset of LBBB were also included. Patients with age group lesser than 30 years or greater than 70 years with STEMI were excluded. Sampled with consecutive non probability technique in patients was assessed with ECG, cardiac enzymes, transthoracic echocardiography, renal Doppler and RFTs. All patients were admitted in wards and were followed up during hospital stay. Patients were evaluated and their record of Primary PCI and thrombolysis was also noted. Data was entered and analyzed with SPSS-23. Results: A total of 380 patients with STEMI were included in this study consisting of 292 (76.8%) male and 88 (23.1%) female from 30 to 70 years. The patients were divided in two groups i.e. diabetic and non-diabetic, 190 patients were included in each group. It was found that frequency of ST-Elevation MI was higher in diabetic group as compared to non-diabetic group. All the patients were analyzed for complications occurred after STElevation MI. LV failure, Brady arrhythmias, atrial fibrillation, post MI angina and cardiogenic shock were the main complications noted. It was found that all these complications are more in diabetic group post MI angina which occurred most frequently in non-diabetic group. Conclusion: In our study we observed that left ventricular failure and arrhythmias were the major complications. Mortality was higher in diabetic patients than non-diabetic patients. In both groups PPCI and SK reduced mortality. Post MI angina were found more frequent in non-diabetic group.
format article
author Gul Khan
Imtiaz Ahmed Khan
Fahad Ahmad Khan
Shaheer Farhan
Javeria Kamran
Anam Fatima Janjua
Naseer Ahmed Samore
Sadaf Khan
Sohail Aziz
Abdul Hameed Siddiqui
author_facet Gul Khan
Imtiaz Ahmed Khan
Fahad Ahmad Khan
Shaheer Farhan
Javeria Kamran
Anam Fatima Janjua
Naseer Ahmed Samore
Sadaf Khan
Sohail Aziz
Abdul Hameed Siddiqui
author_sort Gul Khan
title IN-HOSPITAL EARLY COMPLICATIONS IN DIABETICS VS NON DIABETICS WITH ACUTE ST ELEVATION MYOCARDIAL INFARCTION AGE GROUP 30-70 YEARS
title_short IN-HOSPITAL EARLY COMPLICATIONS IN DIABETICS VS NON DIABETICS WITH ACUTE ST ELEVATION MYOCARDIAL INFARCTION AGE GROUP 30-70 YEARS
title_full IN-HOSPITAL EARLY COMPLICATIONS IN DIABETICS VS NON DIABETICS WITH ACUTE ST ELEVATION MYOCARDIAL INFARCTION AGE GROUP 30-70 YEARS
title_fullStr IN-HOSPITAL EARLY COMPLICATIONS IN DIABETICS VS NON DIABETICS WITH ACUTE ST ELEVATION MYOCARDIAL INFARCTION AGE GROUP 30-70 YEARS
title_full_unstemmed IN-HOSPITAL EARLY COMPLICATIONS IN DIABETICS VS NON DIABETICS WITH ACUTE ST ELEVATION MYOCARDIAL INFARCTION AGE GROUP 30-70 YEARS
title_sort in-hospital early complications in diabetics vs non diabetics with acute st elevation myocardial infarction age group 30-70 years
publisher Army Medical College Rawalpindi
publishDate 2020
url https://doaj.org/article/25c03054c89f436ca5926c33f48aeeb4
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