A COMPARATIVE STUDY OF SITE OF INFARCTION COMPLICATIONS AND MORTALITY OF PATIENTS SUFFERING FROM ISCHAEMIC HEART DISEASE WITH OR WITHOUT DIABETES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 33
Abstract
BACKGROUND Coronary artery disease accounts for 75% deaths in diabetics and is characterised by younger age of onset of more advanced disease with multiple vessel involvement and increased frequency, particularly in females. Although, mainly manifested as Angina Pectoris, Myocardial Infarction, Congestive Cardiac Failure and Arrhythmias, it may notoriously be atypical and asymptomatic and contribute to sudden death. MATERIALS AND METHODS A total of one hundred cases of myocardial ischaemia and infarction (50 of IHD with diabetes and another 50 IHD without diabetes) were included in the study. To know the site of infarction, an Electrocardiogram (ECG) was recorded using the Philips 100-page writer machine, which records all the twelve lead and a long rhythm strip at a time. A single observer recorded all the ECG. Reading of ECG was done under various heads. RESULTS On analysis of collected data it has been revealed that 68% cases had anterior wall lesion, 14% had inferior wall lesion and the rest 18% had combination variety amongst the IHD with diabetes cases. Similarly, amongst non-diabetic IHD, 32% had anterior wall, 24% had inferior wall and rest 44% had combination variety. Regarding combination, 30.00% and 14.00% cases had a combination of complications in both IHD with diabetes and without diabetes respectively. CONCLUSION It has been revealed that IHD with Diabetes claims more lives than its counterparts IHD with non-diabetes.
Authors and Affiliations
Deepak Kumar, John Masih, Khileshwar Singh, Vimal Chandra Bhagat, Chandrakant Diwan, Sanjay Mandavi, Menka Khare, Avon Dhruw
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