Study of Clinical Profile of Acute Myocardial Infarction in Diabetic and Non Diabetic Patients

Abstract

Background: In recent years, much attention has been given to the evidence that the concomitant occurrence of hyperglycaemia in patients admitted to intensive care units with an acute myocardial infarction (MI) enhances the risk of mortality and morbidity, whether the patient as DM or not. In some cases, the elevation of sugar could simply be a marker of pre-existing, but not yet detected type 2 diabetes or impaired sugar tolerance (IGT). This may mean that besides being causal, elevated sugar also could be a marker of existing insulin resistance and/or beta-cell failure that may contribute to the poor prognosis through other mechanisms. However, a positive association between hyperglycaemia at the time of the event and subsequent mortality from MI has frequently been reported. Consequently, understanding the possible mechanisms through which hyperglycaemia worsens the prognosis of a MI, as well the effectiveness of its control during acute MI, seems to be of great relevance. Aim: To study clinical profile of acute myocardial infarction in diabetic and non-diabetic patients. Material and methods: Present study type was a cross sectional observational type of study carried out at Medicine department of tertiary care hospital. A160 patients were included in the study. Patients, both male and female who are having acute myocardial infarction with elevated blood sugar level but previously not diagnosed as diabetic. Registration of patients was done from October 2019 to October 2021. Registration was done when patient got admitted under department of medicine. On registration the patients having exclusion criteria were not taken for the study. Objective of the study was to study clinical profile of acute myocardial infarction in patients with diabetes and non-diabetes. All data was collected and complied in Microsoft excel. Results of continuous (quantitative data) measurement were presented on Mean +/- SD (min-max) and result on categorical (qualitative data) ..........