ACUTE MYOCARDIAL INFARCTION

A COMPARATIVE STUDY TO ASSESS THE ANGIOGRAPHIC CHANGES IN DIABETIC AND NON DIABETIC PATIENTS

Abstract

Objective: To compare the angiographic findings in patients with acute
myocardial infarction (AMI) and compare it with diabetic and non-diabetic patients admitted
in the cardiology department of LUHMS. Study Design: Descriptive analytical study. Setting:
Department of cardiology at Liaquat University of Medical and Health Sciences (LUMHS)
Hospital, Hyderabad. Period: Periods of 1st June 2012 to 31st July 2013. Patients & methods:
All patients with AMI and had diabetes mellitus and age eighteen or more than eighteen years
both male and female were included after taking informed consent. Results: Out of 297 patients
diagnosed as AMI, 195 (65.65%) patients had acute ST elevation Myocardial Infarction and 102
(34.35%) patients had acute non ST elevation myocardial infarction. Among 297 patients, 190
(64%) patients were non-diabetic and 107 (36%) patients were diabetic. Diabetic patients were
older, more often males, but prevalence of smoking was less marked. Coronary angiographic
findings among patients with AMI and diabetics revealed three vessels disease. Conclusion:
Older patients with male predominance presented with AMI and had diabetes mellitus were
found to have three vessels disease in coronary angiography.