difference stemi and stemi in diabetes patients - KaplanMeier curves were used to demonstrate diabetes and dialysis life expectancy event rates of subgroups of patients Differences between groups were tested by logrank test only percutaneous coronary intervention for multivessel coronary artery disease in patients with STsegment elevation myocardial infarction and diabetes Cardiovasc Diabetol 201918119 doi 101186 Type 2 diabetes mellitus T2DM and its complications are seriously affecting public health worldwide Myocardial infarction MI is the primary cause of death in patients with T2DM T2DM patients without a history of coronary artery disease CAD Overall impaired outcomes of patients with STEMI who have diabetes are mainly driven by a high incidence of any revascularization the profound metabolic disorder associated with diabetes determines a more aggressive and extensive coronary atherosclerosis that is inevitably associated with a higher incidence of revascularization beyond the Understanding the similarities and differences between myocardial infarction with or without STsegment elevation is an essential step for proper patients management in current practice Killip class time delay to treatment treatment strategy history of MI diabetes mellitus renal failure number of diseased coronary arteries and The study cohort included 137 patients with STEMI 105 nondiabetic subjects and 32 type 2 diabetic subjects age 589 103 vs 675 71 years respectively P 0001 without history of prior myocardial infarction or coronary artery bypass surgery Each patient received either streptokinase or tissuetype plasminogen activator tPA in 6 h from index pain and was connected to the Impact of Diabetes on AHAASA Journals The Effect of Diabetes on Prognosis Following Myocardial Infarction Acute STSegment Elevation Myocardial Infarction STEMI Diabetic Patients Who Present With STElevation Myocardial Infarction Diabetes is a predictor of poor clinical outcomes in all strategies of coronary revascularization diabetes australia 2012 1315 Contemporary trials comparing complete revascularization to culpritlesiononly strategy in the setting of STEMI have either excluded patients with diabetes or have a very small number of patients enrolled 1620 A recent metaanalysis 1 Introduction Patients with diabetes mellitus DM and acute myocardial infarction AMI are at high risk for recurrent cardiovascular events 12 in part due to a greater tendency towards thrombosis 34Diabetics are characterized by increased platelet reactivity including higher reactivity while on antiplatelet treatment 67STsegment elevation myocardial infarction STEMI is Longterm followup of diabetic patients with nonSTsegment elevation Diabetes and ST Elevation Myocardial Infarction Myocardial Infarction with and without STsegment Elevation a Introduction Diabetes mellitus DM is associated with an increased complication risk following myocardial infarction MI despite improvements in acute coronary care and secondary prevention We investigated the 1year prognosis in a broad population with concomitant diabetes and STsegment elevation myocardial infarction STEMI that received contemporary treatment Complete Revascularization Versus CulpritLesionOnly PCI in STEMI 1 Introduction Improvements in acute myocardial infarction AMI care including timely coronary revascularization and medical therapies have reduced morbidity and mortality 1However differential outcomes between patients with and without diabetes mellitus DM have persisted over time despite improvements in overall AMI care 2An epidemiological study conducted in Northern Sweden The major STEMI risk factors are dyslipidemia diabetes hypertension smoking and a family history of coronary artery disease possibly higher than in White populations due to differences in clinical testing methods 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with STsegment elevation Type 2 Diabetes and Myocardial Infarction Recent Clinical Evidence and Prognosis in Patients With Diabetes chinen salt for diabetes reviews Mellitus and STEMI Undergoing
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