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Analysis Study Research Paper | Cardiology Science | India | Volume 12 Issue 10, October 2023
Angiographic Profile of Type 2 Diabetic Patients with ST Elevation Myocardial Infarction Attending Tertiary Care Centre at Central India: A Cross-Sectional Study
Dr Pradeep Deshmukh [4] | Dr Mohammed Arshiyan Malik
Abstract: Introduction: Diabetes is one of the most common cause of coronary artery atherosclerosis, and leads to diffuse and multivessel involvement and myocardial infarction. Aim: To evaluate the angiographic profile of diabetic patients with ST Elevation Myocardial Infarction (STEMI). Materials and Methods: The present study was a cross-sectional study which enrolled 116diabetic patients presenting with STEMI from 1st January 2022 to 30th June 2022. Coronary artery lesion of 70% or more in major coronary artery or artery having lumen diameter of >=2.5 and 50% or more in Left main coronary artery is considered significant. Results: Age of the patients was 25 yrs to 75 years, with 78 subjects being males and 38 subjects were females. Out of 116 patients 51 (43.97%) had Hypertension 56 (48.28%) had smoker in the form cigarrete and bidi and 40 (34.48%) were tobacco chewer and 72 (62.06%) were alcoholic. Atypical angina were present in 68(58.62%) of patients and 48 (41.37%) present with typival angina. Most common age group affected 56 to 65 years . AWMI seen in 63 (54.31%) of patients and IWMI in 53 (45.69%) patients, 62 (79.48%) of patients with AWMI had HbA1c more than 8.5 and 27( 71.05%) of IWMI had HbA1c more than 8.5. patients with duration of Diabetes more than 5 years are affected more in percentage . (Table 4) . Among 116, 41 were thrombolysed and 75 not thrombolysed. Severe LV dysfunction were present in 20 (17.24%) patients and 22 (18.90%) had moderate LV dysfunction, mild LV dysfunction were present in 21 (18.10%) and 53 (45.6%) had normal LV function. Single vessel involvement in 34 (29.31%) DVD involvement in 39 (33.62%) and TVD in 43 (37.06%) and left main involvement in 19 (16.37%) along with SVD, DVD AND TVD Major Adverse Cardiac Events (MACE) was during hospital stay in the form of death, recurrent myocardial infarction and cardiovascular stroke, which occurred in 14 (12.06%) patients of the total 116 diabetic patients. Conclusion: In this study patients with uncontrolled diabetes with HbA1c more than 8.5 and duration of diabetes more than 5 years were affected more in number and had STEMI and diffuse and multivessel coronary artery involvement. In this study on the basis of syntax score PTCA and Coronary Artery Bypass Graft (CABG) were mode of treatment.
Keywords: diabetes, coronary artery, myocardial infarction, angiographic profile, STEMI
Edition: Volume 12 Issue 10, October 2023,
Pages: 446 - 449