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ORIGINAL ARTICLE
Year : 2021  |  Volume : 10  |  Issue : 1  |  Page : 31-34

Clinical study of burden of type 2 diabetes mellitus in acute coronary syndromes and their complications


Department of General Medicine, Geetha Nursing Home, Tenali, Andhra Pradesh, India

Correspondence Address:
P Dakshina Murthy
Consultant Physician, Geetha Nursing Home, Kothapet, Tenali 522201, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcsr.jcsr_104_20

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Background: Sparse published data are available regarding the burden of Type 2 diabetes mellitus (T2DM) in patients presenting with acute coronary syndrome (ACS) in a health-care setting managed by physicians. Methods: The present study was conducted to assess the burden of T2DM, amongst persons admitted with ACS, and study the complications during their hospital stay. Results: During November 2016 and May 2017, 167 persons with ACS were admitted in the intensive care unit of a 15-bedded hospital managed by physicians. Of these, 66 (39.5%) were found to have T2DM (57 were known to have T2DM, T2DM was freshly detected in 9). Of the 66 patients with T2DM and ACS, 44 (67%) had ST-elevation myocardial infarction (MI) (25 persons had anterior wall MI and 19 had inferior wall MI) and 22 (33%) had non-ST-elevation MI/unstable angina. Ten (15%) patients died during hospital stay (9 died due to cardiac arrest and one patient died on the way to another centre). Other complications included acute left ventricular failure (n = 4). Two of these recovered with treatment and two others were shifted to another centre. One patient had developed cardiogenic shock and recovered with treatment. One person with post-infarction angina was referred to another centre for angiogram. Conclusions: Early recognition of diabetes mellitus in patients presenting with ACS is essential to save life and prevent complications.


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