Abstract
Objectives > The aim of this study was to determine the clinical characteristics, treatment and development of myocardial infarction in patients with diabetes.
Methods > From September 1999 through December 2003, 191 patients with myocardial infarction were hospitalized in the cardiology deportment of the Mohamed V military teaching hospital in Robot, Morocco. They included 85 patients with diabetes (D) and 106 without it (ND).
Results > Comparison of these two groups showed a higher percentage of women among the patients with diabetes. Hypertension was more frequent in patients with diabetes, while smoking was frequent in both groups. The clinical picture was similar in both groups, as was the frequency of left ventricular dysfunction, determined by transthoracic echocardiography Coronary angiography showed damage in three arteries was more common in the D group, while single-artery damage was more frequent in the NO group. Treatment was similar in both groups. In all, 49 patients underwent myocardial revascularization, and its method (angioplasty or aortic surgery) did not differ by group. Neither hospital mortality nor other complications differed between the two groups, with a follow-up of 3.98 +/- 1.99 years for NO patients and 2.68 +/- 1.32 years for D patients.
Conclusion > Correct management of myocardial infraction and its cardiovascular risk factors, development of means of revascularization, and close collaboration between cardiologists and endocrinologists should improve prognosis for patients with diabetes who have myocardial infarctions.