Diabetes mellitus in acute heart failure and acute coronary syndrome


Authors: Miroslav Pernický;  Marta Filková Karabová;  Ján Murín
Authors‘ workplace: I. interná klinika LF UK a Nemocnica Staré Mesto, UNB, Bratislava, prednostka doc. MUDr. Soňa Kiňová, PhD.
Published in: Forum Diab 2013; 2(1): 23-26
Category:

Overview

Diabetes mellitus type 2 (DM2T) is a complex, chronic, in many ways unique, incurable (but treatable) disease with a worldwide increase of prevalence. The aim of this work is to analyse presence of DM2T in patients admitted due to acute heart failure (AHF) and patients admitted due to acute coronary syndrome (ACS) during the emergency services at I. Internal Clinic in our region (about 150 000 inhabitants). 302 patients were admitted and 1 052 were examined. 45 patients (15%) were admitted due to AHF and 34 patients (11%) due to ACS. The most frequent type of AHF was acute decompensation of chronic heart failure (CHHF) (82%). Diabetes mellitus was present in 40 % patients admitted due to acute heart failure. Hypertension was the most frequent among cardiovascular comorbidities. The most common non-cardiovascular comorbidity (30% patients with DM, 18% patients without DM) was chronic kidney disease. Characteristics of patients admitted for ACS: 73% of patients admitted for NSTEMI, 24% of patients admitted for unstable angina and 3% of patients admitted for STEMI. Up to 35% of patients admitted were diabetics. Acute heart failure was more frequent cause of hospitalization than acute coronary syndrome. DM2T was quite common in both groups of patients admitted (40% in AHF and 35% in ACS). In conclusion, physicians managing patients with cardiovascular disease should know whether the patient is diabetic or not.

Key words:
diabetes mellitus – acute heart failure – acute coronary syndrome – rehospitalization for acute diseases


Sources

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4. Studenčan M, Baráková A, Hlava P, Murín J, Kamenský G. SLOVenský register Akútnych Koronárnych Syndrómov (SLOVAKS) – analýza údajov z roku 2007. Cardiol 2008: 17(5): 179–190.

5. Van de Werf F, Ardissino D, Betriu A et al. The Task Force on the Management of Acute Myocardial Infarction of the European Society of Cardiology. Eur Heart J 2003; 24(1): 28–66.

Labels
Diabetology Endocrinology Internal medicine
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