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Original Research

RMJ. 2007; 32(2): 131-134


Effects of Diabetes Mellitus on Outcome of Patients with First Acute Myocardial Infarction

Jahanbakhsh Samadikhah, Seyed Hadi Hakim, Ali Reza Yaghoubi, Rezvanieh Salehi, Azin Alizadeh Asl, Rasoul Azarfarin.

Abstract
Objectives: To evaluate the effects of diabetes mellitus (DM) on outcome and survival of patients with first
acute Myocardial Infarction (AMI).
Methods: In 500 patients (358 men and 142 women), 74 (12.6%) were diabetic, and rest of them were non–
diabetic. All diabetic patients were divided in to two groups, Group A included 13 patients with type 1 DM
and the group B included 61 patients with type 2 DM.
Results: Age–Adjusted mortality in one year follow-up for women with DM was 22%, and significantly
higher than 13% in women without DM, (relative risk (RR) 1.69 and 95% CI 1.21 to 2.06). Mortality rate for
men with DM (21%) and without DM (16%) was also significantly different (RR 1.31 and 95% CI 1.05-
1.62). Painless AMI occurred in15.4% of patients with type 1 and 14.4% of patients with type 2. One year
mortality rate in both type 1 and 2 were 19.6% and 21.3% respectively (p>0.05). According to angiographic
data, diabetic patients had more involved arteries than non diabetics (mean 2.62 vs. 2.07 vessels; P

Key words: Acute myocardial infarction, diabetes mellitus type 1 and type 2, painless AMI, Mortality rate.



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