Abstract:
Coronary artery disease is the major cause of morbidity and mortality in type 2 diabetics as compared to general population. To know the demographic and in patients treatment difference between patients of myocardial infarction alone and those with type-II diabetes and other cardiovascular diseases. A one-year, hospital based prospective cohort study was conducted at coronary care unit of Lady Reading Hospital, Peshawar. Main outcome measures were to assess demographic and in-patients treatment/ mortality differences between patients of myocardial infarction (MI) alone or with other cardiovascular diseases (CVD, group 1) and patients of MI with type 2 diabetes (group 2) a total of 506, patients, with an episode of MI, Mean age 57.7 (11.2 S.D.)Years, were admitted during one year period. Off 506 patients, 152 (30%) had type 2 diabetes with mean duration 7.8 (7.9 S.D.) years and 354 (70%) had MI alone or with other CVD. Between-group analysis indicated that in-patients mortality was statistically greater in, group 1 as compared to group 2 (Relative Risk, 3.972; 95% CI 1.44-10.94). Within-group analysis indicated that raised systolic and diastolic blood pressure were statistically associated with higher in-patients mortality in, group1 (0.001 and 0.007, Wilcoxon matched pair test, respectively). Our results have shown higher in-patients mortality in patients of MI alone or with other CVD as compared to patients of MI with 2 diabetes. Do we have a higher rate of instant (sudden/street) deaths in type 2 diabetics as compared to general population.
Page(s):
153-161
DOI:
DOI not available
Published:
Journal: Journal of Postgraduate Medical Institute, Volume: 18, Issue: 2, Year: 2004