22 STUDY OF HEART BLOCKS IN ACUTE MYOCARDIAL INFARCTION IN DIABETIC AND NON-DIABETIC PATIENTS
Journal Title: Indian journal of applied basic medical sciences - Year 2017, Vol 19, Issue 29
Abstract
Introduction: This was the study to study Heart Blocks in acute Myocardial infarctions patients specifically in patients with or without diabetes.Material and Methods:The Study included ninety six cases of acute myocardial infarction with and without diabetes. The cases were studied in ICU of a tertiary care urban hospital. Results and Discussion: We observed a ratio of anterior to inferior wall MI 3.1 in non diabetics while the ratio is 2.1 in diabetics.Female were relatively protected against coronary disease. The frequency of block was less in females of both the groups and even lesser in diabetic group. On the other hand, diabetic males have greater frequency of block than non-diabetic males.Complication rate and mortality is no doubt higher in the diabetic group, but it was not as bad as described by most western authors.Overall complication rate was higher in the diabetic group (39% in non-diabetics and 58% in diabetics). The most important complication was acute LVF (21% in non-diabetics vs 42% in diabetics).Conclusion:All patients with block did not require specific treatment. Clinical status is most important consideration. Pacemaker is like second marriage with its new set of trouble and might needed to be avoided unless indication is absolute.
Authors and Affiliations
Dr Jaydev S Mod, Dr Rajkamal Chaudhari
Keywords
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