Gender impact in diabetic patients with acute myocardial infarction: A hospital-based study
Journal Title: Medpulse International Journal of Medicine - Year 2019, Vol 9, Issue 2
Abstract
Objective: There are previous studies stating gender differences in clinical profile in diabetics who sustain acute myocardial infarction. This study was undertaken to observe such differences in a small cohort of population in a south Indian hospital. Materials and methods: Clinical data comprising of presenting complaints, additional risk factors, type of myocardial infarction and in hospital outcome was collected from 100 diabetic patients admitted over a period of 6 months and the results were compared using chi-square test. Results: The mean [SD] age of females was 62.83 years [SD=5.8] and in men it was 58.92 years [SD=10.63]. Previous history of hypertension noted in 70% females vs. 40%male and obesity was observed in 24% of females and noted in 4% males. Chest pain as a predominant complaint was observed in 80% males and 48% females and fatigue as a presenting complaint was noted in 62% of females. ECG showed STEMI in 84% of males vs. 52% females and the overall mortality was 18% in females versus 8% in males. Conclusion: Female diabetics who presented with MI were more often obese hypertensives and presented with fatigue as a predominant complaint. Men had STEMI in majority of them and inhospital morbidity was almost equal across genders and mortality was slightly more among females.
Authors and Affiliations
Tejeswini CJ, Srinath KM, Basavana gowdappa H, Madhu Srinath
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