The study evaluated the influence of strict glycemic control during first 24 hours of myocardial infarction on 6-months mortality and systolic function of the left ventricle. Of 65 patients with type 2 diabetes mellitus and acute myocardial infarction 30 received 24-hour infusion of short acting insulin and 35 served as controls. As a result of this investigation we made a conclusion that effect of optimal metabolic control during acute period of myocardial infarction on mortality and constriction of the left ventricular was beneficial.
The aim of the study was to assess the frequency of lethal outcomes within one year after hospitalization of patients with acute myocardial infarction (MI), risk factors responsible for the poor prognosis, and main causes of intrahospital mortality. The most common causes of fatal outcomes were cardiogenic shock (52.5%) and arrhythmias (24.4%). Factors influencing long-term prognosis were considered. Unfavorable effect of type 2 diabetes mellitus (DM) on the 7-year survival rate in patients with previous MI was revealed. Survivorship was less affectedin the absence of DM: -0.12 (0.19; 0.07) and 0.36(0.40; 0.029) respectively, p = 0.001.
This 6-year-long study included 73 patients with cardiac disorders (chronic CHD, AH) and type 2 diabetes without myocardial infarction. Control group was comprised of similar patient without DM2. Survival in DM patients was significantly lower than in controls (0.64 (0.58; 0.71) and 0.93 (0.89; 1.01) respectively; p 8.5%, echoCG changes in the left ventricle, and signs of myocardial ischemia revealed by 24 hour ECG monitoring.