Effect of diabetes mellitus on short term mortality in patients with first acute st- elevation myocardial infarction: ten years results from a hospital with no invasive facilities.

摘要

Objectives: To compare short-term mortality after a first acute myocardial infarction with ST elevation (STEMI) in patients with and without diabetes mellitus (DM) Methods: Between 1.01.2000 - 31.12.2009, 1335 STEMI patients were admitted in the Baia Mare Emergency Hospital: 660 (142 DM) had no throm-bolysis, 675 (136 DM) received thrombolysis.Results: In-hospital mortality was 19.4% in the 278 DM patients and 14.3% in the 1057 non -DM patients (p=0.05). Mortality in the subgroups was different: 11.3% in the 539-thrombolysed non-DM patients, 16.5 % in the 136-DM thrombolysed patients (p=0.02) and 21.4% in 142 DM patients without thrombolysis (p<0.0001). DM patients had more failed thrombolysis, 5.8% vs. 2.1% (p=0.05), and more recurrent ischemia, 9.3 % vs. 4.6 %, than non-DM patients had (p=0.01).