Prognostic differences in diabetic patients compared to non-diabetic patients hospitalized for nsteacs. Long- term study

摘要

The risk for cardiovascular disease is significantly higher in patients with type 2 diabetes mellitus than in individuals without diabetes because diabetes mellitus is known to be one of the most important cardiovascular risk factors. We identified 715 patients diagnosed with non-ST-segment-elevation Acute Coronary Syndrome from January 2004 to December 2005. We wanted to compare the diabetic patients with nondiabetic patients; we found that the diabetic patients exhibited greater associated comorbidity; there were no differences related to the use of drugs between the two groups. Although no significant differences were found related to use of cardiac catheterization nor coronary revascularization procedures, diabetic patients presented higher mortality, both intrahospital and after follow-up. After adjustment, diabetes mellitus was found to be an independent predictor of intrahospital mortality