Magnitude, treatment, and impact of diabetes mellitus in patients hospitalized with non-ST segment elevation myocardial infarction: A community-based study
Department of Quantitative Health Sciences; Department of Medicine, Division of Cardiovascular Medicine; Meyers Primary Care Institute
Cardiovascular Diseases | Clinical Epidemiology | Epidemiology | Health Services Administration | Nutritional and Metabolic Diseases
PURPOSE OF THE STUDY: To examine differences in the characteristics, treatment practices and in-hospital outcomes of patients with and without previously diagnosed diabetes hospitalized for non-ST segment elevation myocardial infarction.
KEY METHODS: The study cohort consisted of 3916 patients diagnosed with non-ST segment elevation myocardial infarction at all 11 central MA medical centres between 1999 and 2009, of whom 1475 (38%) had been previously diagnosed with diabetes. MAIN
RESULTS: Diabetic patients were more likely to have received treatment with effective cardiac medications, and to have undergone coronary bypass surgery, but were less likely to have received a percutaneous coronary intervention, than non-diabetic patients. Patients with a history of diabetes were more likely to have developed cardiogenic shock, heart failure and died during their index hospitalization than non-diabetic patients.
MAIN CONCLUSION: Diabetic patients presenting with non-ST segment elevation myocardial infarction remain at high risk of developing significant clinical complications during hospitalization.
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Citation: Diab Vasc Dis Res. 2016 Jan;13(1):13-20. doi: 10.1177/1479164115609027. Epub 2015 Oct 23. Link to article on publisher's site
Awad, Hamza H.; Tisminetzky, Mayra; Metry, Diana; McManus, David D.; Yarzebski, Jorge L.; Gore, Joel; and Goldberg, Robert J., "Magnitude, treatment, and impact of diabetes mellitus in patients hospitalized with non-ST segment elevation myocardial infarction: A community-based study" (2016). University of Massachusetts Medical School Faculty Publications. 892.