Causes of death and long-term prognosis after myocardial infarction in patients with diabetes mellitus.

Abstract:

:The long-term prognosis and causes of death of myocardial infarction (MI) in 62 diabetics were studied. The mean follow-up time was 6.2 years, 11 patients died in the acute stage of MI, 9 of them (81.8%) had anterior infarction and their major causes of death were ventricular fibrillation and cardiogenic shock (72.2%). 19 died in the follow-up period, 14 of them (73.68%) had inferior and anterior septal infarction; and most died of reinfarction and sudden death. The cumulative survival rate 1, 2 and 5 years after MI was 80.7%, 71.9% and 57.9%, respectively. The results suggest that treatment and prevention of MI in patients with diabetes be more attentive to prevent ventricular fibrillation and cardiogenic shock during the acute stage and in the later stage more attention should be paid to preventing reinfarction. At any stage of the disease, strict diabetic control is of vital importance.

journal_name

Chin Med J (Engl)

journal_title

Chinese medical journal

authors

Qian RL,Feng JG

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

18-21

issue

1

eissn

0366-6999

issn

2542-5641

journal_volume

104

pub_type

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