Type 2 Diabetes and Myocardial Infarction in Central India: A Study and Review
Journal Title: Cardiology and Angiology: An International Journal - Year 2017, Vol 6, Issue 1
Abstract
Background: Clinical experience in specific geo-demographic contexts in diabetes and myocardial infarction (MI) deserves examination in the context of current medical knowledge and redefinition for enlightened evidence based medical practice. Aim: Study aims to examine regional significance of known risk factors in incidence and outcome of MI in diabetics in comparison with non-diabetics. Methods: Cases of myocardial infarction managed over 18 month period at medical college setting in central India in 35 to 75 year age range and free from major systemic co-morbidities were comparatively studied by categorizing as diabetic and non-diabetics. Demographic, clinical and laboratory information as well as complications and outcome profiles were assessed. Results: MI in diabetics occurred at younger age, was common among women, overweight subjects and those with positive family history of ischaemic heart disease. Smokers and hypertensive’s had high prevalence in MI cases among non-diabetics group. Poor glycaemic control and dyslipidaemia were common features in diabetic MI that was largely anterior suggesting extensive coronary atherosclerosis. Although statistically insignificant, most post infarct complications were more frequent among diabetics. Hospital stay was significantly longer for diabetic MI cases. Conclusion: Study observations emphasize preventive role for dietary and lifestyle modification, weight reduction in diabetics and deterrence of smoking in non-diabetics as crucial. Management of hypertension is a necessary measure while good glycaemic control and correction of dyslipidaemia is pertinent in diabetics to reduce incidence and possibly severity of MI relevant in central Indian context. Angiotensin Converting Enzyme (ACE) inhibitors, beta adrenergic blockers and statins besides emergent glycaemic control with insulin have particular therapeutic relevance in diabetic MI.
Authors and Affiliations
Abha Pandit
Keywords
Related Articles
- EP ID EP305682
- DOI 10.9734/CA/2017/30952
- Views 86
- Downloads 0
Factors Influencing the Risk of Death among Patients with Heart Failure
The purpose of this study was to investigate the impact of risk factors on the death of patients with heart failure in a cohort of patients hospitalized with heart failure disease. In this paper we used chi-square tests...
Cardiac Computed Tomographic Angiography: Clinical Applications
Cardiovascular disease is the lead¬ing cause of morbidity and mor¬tality worldwide. Cardiac imaging plays an important role in diagnosis and risk stratification of various cardiac diseases. Cardiac computed tomography ad...
Comparison of Doppler Echocardiographic Findings in Patients with Chronic Liver Disease with and without Intrapulmonary Shunt
Aims: Doppler echocardiography is the gold standard for the diagnosis of intrapulmonary shunt (IPS) and screening for portopulmonary hypertension in chronic liver disease (CLD). Echocardiography has become fundamental to...
Evaluation of Arterial Pulse Amplitude Ratio and Valsalva Ratio in Different Age Groups
Aims: To construct normal values of Valsalva ratio for heart rate responses during Valsalva maneuver (VM) and arterial pulse amplitude ratio as reference values for different age groups, and to investigate the effect of...
Transcatheter Intervention for Infantile Hepatic Hemangioendothelioma with Amplatzer Duct Occluder II
Introduction: Infantile Hepatic hemangioendothelioma is characterized by multifocal benign vascular dilatations involving the liver. The clinical course depends on tumor size, localization and complications. Case Report:...