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.
DOI of Published Version
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
Diabetes and vascular disease research
Awad HH, Tisminetzky M, Metry D, McManus DD, Yarzebski JL, Gore J, Goldberg RJ. (2016). Magnitude, treatment, and impact of diabetes mellitus in patients hospitalized with non-ST segment elevation myocardial infarction: A community-based study. University of Massachusetts Medical School Faculty Publications. https://doi.org/10.1177/1479164115609027. Retrieved from https://escholarship.umassmed.edu/faculty_pubs/892