Impact of Diabetes Mellitus on Clinical Characteristics, Management, and In-hospital Outcomes in Patients With Acute Myocardial Infarction (from the NCDR)

2014 ◽  
Vol 114 (8) ◽  
pp. 1136-1144 ◽  
Author(s):  
Talla A. Rousan ◽  
Reji M. Pappy ◽  
Anita Y. Chen ◽  
Matthew T. Roe ◽  
Jorge F. Saucedo
Keyword(s):  
Diabetes Mellitus ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Clinical Characteristics ◽  
Hospital Outcomes

Abstract 11187: Atrial Fibrillation in Women With Acute Myocardial Infarction: Insights From a 20-Years Registry in Qatar (1991-2010)

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Amar M Salam ◽  
Hajar AlBinali ◽  
Rajvir Singh ◽  
Awad Al-Qahtani ◽  
Nidal Asaad ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Myocardial Infarction ◽  
Atrial Fibrillation ◽  
Acute Myocardial Infarction ◽  
Clinical Characteristics ◽  
Significant Risk ◽  
World Population ◽  
Chronic Renal Impairment ◽  
St Elevation ◽  
Scarce Data

Objectives: There is very scarce data on women with atrial fibrillation (AF) in the setting of acute myocardial infarction (AMI). The aim of this study was to compare women and men with AF during hospitalization with AMI in a real-world population. Methods: Retrospective analysis of all patients hospitalized with AMI and AF in Qatar from 1991 through 2010 was made. Patients were divided into two groups according to gender. Clinical characteristics, management and outcomes were analyzed. Results: During the 20-years period, 12871 patients were hospitalized with AMI; 1611 women and 11260 men. Of these 227 patients developed AF during hospitalization; 69 women (4.3%) and 158 men (1.4%), p <0.05. Women with AF were 6 years older and had significantly higher rates of hypertension (72.5% vs. 44.3%), diabetes mellitus (66.7% vs. 43%), dyslipidemia (18.8% vs. 7.6%) and chronic renal impairment (8.7% vs. 7%) compared to men [all P=0.001]. Non ST-elevation AMI was the commonest underlying type of AMI in both sexes and it was more common in women compared to men (81.2% vs. 67.7%, P= 0.04). Women with AF had significantly longer hospital stay compared to men (8.5 days versus 6 days, p=0.02) whereas in-hospital mortality and stroke rates were comparable between the two groups [table]. Conclusions: We report significant risk profiles differences and a higher prevalence of AF following AMI in women. Further studies are warranted to further explore and confirm this observation in larger registries.

scholarly journals Recent US Patterns and Predictors of Prevalent Diabetes among Acute Myocardial Infarction Patients

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Bruce Ovbiagele ◽  
Daniela Markovic ◽  
Gregg C. Fonarow
Keyword(s):  
Diabetes Mellitus ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Time Trends ◽  
Clinical Characteristics ◽  
Disease Burden ◽  
Nationwide Inpatient Sample ◽  
Discharge Diagnosis ◽  
Vascular Risk ◽  
The Us

Background. Diabetes mellitus (DM) confers high vascular risk and is a growing national epidemic. We assessed clinical characteristics and prevalence of diagnosed DM among patients hospitalized with acute myocardial infarction (AMI) in the US over the last decade.Methods. Data were obtained from all states within the US that contributed to the Nationwide Inpatient Sample. All patients admitted to hospitals between 1997 and 2006 with a primary discharge diagnosis of AMI were included. Time trends in the proportion of these patients with DM diagnosis were computed.Results. The portion of patients with comorbid diabetes among AMI hospitalizations increased substantially from 18% in 1997 to 30% in 2006 (). Absolute numbers of AMI hospitalizations in the US decreased 8% (from 729, 412 to 672, 243), while absolute numbers of AMI hospitalizations with coexisting DM rose 51% ((131, 189 to 198, 044), both (). Women with AMI were significantly more likely to have DM than similarly aged men, but these differences diminished with increasing age.Conclusion. Although overall hospitalizations for AMI in the US diminished over the last decade, prevalence of diabetes rose substantially. This may have important consequences for the future societal vascular disease burden.

scholarly journals -43-CLINICAL CHARACTERISTICS OF ACUTE MYOCARDIAL INFARCTION IN PATIENTS WITH DIABETES MELLITUS : WITH RESPECT TO THE INCIDENCE OF POWER FAILURE

1986 ◽  
Vol 50 (6) ◽  
pp. 471-472
Author(s):  
Shinichiro Ishikawa ◽  
Masayuki Taniguchi ◽  
Shunichi Fukuhara ◽  
Masako Toyama ◽  
Masahito Naito ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Clinical Characteristics ◽  
Power Failure ◽  
Patients With Diabetes

scholarly journals HOSPITAL OUTCOMES OF ACUTE MYOCARDIAL INFARCTION IN PATIENTS WITH AND WITHOUT DIABETES MELLITUS

1969 ◽  
Vol 2 (2) ◽  
pp. 159-164
Author(s):  
Ibrahim Shah ◽  
Sherbahadar ◽  
Mohammad Hafizullah ◽  
Syed Tahir Shah ◽  
Abdul Hadi
Keyword(s):  
Diabetes Mellitus ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Diabetic Group ◽  
Medical Institute ◽  
Hospital Outcomes ◽  
Increase Risk ◽  
Observational Cohort ◽  
Baseline Characteristics ◽  
High Glucose Level

Objective: To compare hospital outcomes of acute myocardial infarction (AMI) in patients with andwithout diabetes mellitus.Methodology: This observational cohort study was carried out in the department of Cardiology,Postgraduate Medical Institute Govt. Lady Reading Hospital Peshawar. A total of 444 patients with AMIwere studied from December 2009 to December 2011. Among these half of patients were diabetic whilerests were non-diabetic. After enrolment in the study, patients were monitored for in- hospital complicationsofAMI.Results: Most of the baseline characteristics were similar between the two groups of patients. Howeverpatients in diabetic group had more hypertension, dyslipidemia, high glucose level, less smoking, high heartrate and raised blood pressure on presentation as compared to patients in non-diabetic group. Complicationrates were significantly higher in the diabetic group as compared to non-diabetic group. Complication ratesbetween diabetic and non-diabetic groups were atrial fibrillation (AF) 14.4% V 8.1%; P=0.036 respectivelywhile ventricular tachycardia (VT) 10.8% V 13.1% ;P=0.464, ventricular fibrillation (VF) 3.2% V 4.1 %;P=0.611, advanced AV blocks 12.2%V 6.3% ;P=0.033, acute heart failure (AHF) 24.8% V 17.1% ;P=0.047,cardiogenic shock(CS) 18% V 7.2%;P=0.001, recurrent MI (Re-MI) 14.4% V 7.7%; P=0.000, acute renalfailure 9%V5%; P=0.001 and death rate 13.5 % V 8.1 %; P=0.000 respectively.Conclusion: Diabetes mellitus is associated with an increase risk of in-hospital complications afterAMI.Key words: Diabetes mellitus, hospital Outcomes,Acute Myocardial Infarction

Treatment Delays and In-Hospital Outcomes in Acute Myocardial Infarction During the COVID-19 Pandemic: A Nationwide Study

2020 ◽  
Author(s):  
Mustafa Kemal Erol ◽  
Meral Kayikcioglu ◽  
Mustafa Kilickap ◽  
Arda Guler ◽  
Abdullah Yildirim ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Hospital Outcomes ◽  
Treatment Delays ◽  
Nationwide Study
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