PAKISTAN ARMED FORCES
MEDICAL JOURNAL (Category X)

A Journal of Army Medical & Dental Corps

Being published since 1956

ISSN (online) 2411-8842
ISSN (print) 0030-9648

VOL 67, No. 2, APRIL 2017

FREQUENCY OF DIABETES IN NON ST ELEVATION MYOCARDIAL INFARCTION

Iffat Rafique, Ali Nawaz Khan

Abstract

Objective: To determine the frequency of diabetes mellitus in non ST segment elevation myocardial infarction.
Study Design: Cross-sectional.
Place and Duration of Study: The study was carried out at the Armed Forces Institute of Cardiology (AFIC) Rawalpindi, from Apr 2010 to Oct 2010.
Material and Methods: In this study three hundred fifty two patients with non ST elevation myocardial infarction (NSTEMI) who fulfilled the inclusion criteria were studied while they were admitted to the hospital. They were divided into diabetic and non diabetic groups. Frequency of age, gender, rising levels of cardiac biochemical markers, plasma glucose and HbA1c were seen in both diabetic and non diabetic patients. Results were obtained by using chi-square method and independent t-test.
Results: Out of 352 patients of NSTEMI 193 were diabetics. The study population was categorized in three groups according to age as; 30-45, 46-60, and 61-75 years respectively. It was found that 46-60 years group was most frequently affected with frequency of 46.1%, p<0.001 with male predominance as 67.9% and females as 32.1%. Cardiac biochemical markers were raised with mean for CK 528.51 U/L SD ± 275.82 and CK MB 79.39 U/L SD ± 32.5, p<0.001 respectively. Raised fasting plasma glucose was found in 189 patients mean 8.74 mmol/L SD ± 1.52, p<0.001 and elevated HbA1c seen in 187 patients mean 7.94% SD ± 0.83, p<0.001.
Conclusion: Despite modern therapies for unstable angina (UA)/NSTEMI diabetes is an independent cardiovascular risk factor, therefore we need aggressive strategies to manage the high risk group of patients.

Keywords : Diabetes mellitus, Frequency, Non ST segment elevation myocardial infarction.



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