International Journal of Medical Research & Review

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https://imsear.searo.who.int/handle/123456789/149620

Editor in Chief : Dr. D. Sharad Gedam,

ISSN: 2320–6012(Print)

Frequency: 6 issues a year

Language: English

An Journal of Shishu Mangalam Child Care Centre, Bhopal, India

Open Access Peer-reviewed journal

Web site: https://www.ijmrr.in/ /

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Browsing International Journal of Medical Research & Review by Subject "Acute Anterior Myocardial Infarction"

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    In Hospital Outcome of Acute Anterior Myocardial Infarction in Diabetic and Non-Diabetic Patients
    (Siddharth Health Research and Social Welfare Society, 2023-10) Suhail Alam, M.; Shahabuddin, M.; Abdul Mukid, M.; Tazin, F.; Tarin, T.; Sarathi Roy Chowdhury, P.
    Background:Patients with acute anterior myocardial infarction and diabetes have a poor prognosis.Objectives: To see the in-hospital outcome of acute anterior myocardial infarction in diabetic and non-diabetic patients. Methodology:This cross-sectional observational study was conducted in the Department of Cardiology, Sylhet MAG Osmani Medical College Hospital, Sylhet over two years from July 2015 to June 2017. A total of 100 acute anterior MI patients (50 diabetic and 50 non-diabetic) were included in this study. Acute anterior MI patients admitted after 6 hours of symptom onset or who did not receive streptokinase were excluded.Results: Hypertension was found more among non-diabetic [27 (54%) versus 19 (38%); p>0.05] but the difference was not statistically significant. Diabetic group had more Apical Anterior MI [22 (44%) versus 19 (38%); p<0.05] and Extensive Anterior MI [20 (40%) versus 11 (22%); p<0.05] while non-diabetic group had more Septal MI [10 (20%) versus 3 (6%); p<0.05] and Mid Anterior MI [10 (20%) versus 4 (8%); p<0.05]. LV ejection fraction was found significantly low in diabetic patients [43.96 ± 5.95 versus 53.68 ± 6.36; p<0.01]. Killip Class III was more in the diabetic [24 (48%) versus 9 (18%); p<0.01] and Killip Class I was more in the non-diabetic group [18 (36%) versus 3 (6%); p<0.01] according to Killip classification of HF which was statistically significant between the two groups.Atrial Fibrillation was more in diabetics [6 (12%) versus 1 (2%); p<0.05] while sinus tachycardia was more among non-diabetics [20 (40%) versus 5 (10%); p<0.05] which are statistically \significant.The diabetic group had more acute MR [2 (4%) versus 0 (0%); p>0.05] but was not significant. Death was more pronounced in the diabetic group than in the non-diabetic group [7 (14%) versus 3 (6%); p>0.05] but it was statistically not significant.Conclusion:It is concluded from the present study that in-hospital outcomes of acute anterior myocardial infarction are worse in diabetic patients than in non-diabetic patients.