Incidence of different types of Myocardial Infarctions (MI) in diabetic and non-diabetic patients in cardiology unit of Lady Reading Hospital, Peshawar
Keywords:Myocardial infarction, Diabetes mellitus
Introduction: In past few decades prevalence of diabetes in patients with myocardial infarction has been remarkably increased. Diabetes mellitus has been well defined as a cardiovascular determinant in emergent nations. Myocardial infarction is the common cause of mortality and morbidity worldwide. Globally over 15.9 million myocardial infarction appeared in 2015. Cardiovascular events represent 80% of total deaths due to diabetes mellitus. Therefore, the objective was to determine the incidence of different types of myocardial infarctions in correlation with presence or absence of diabetes mellitus.
Material & Methods: This was a cross sectional study carried out at Lady Reading Hospital Peshawar on 160 participants calculated by online calculator. Convenience sampling was applied, and subjects admitted in cardiology unit, CCU and emergency department of the hospital with the complaint of known myocardial infarction included. Pre-formed proforma was used to collect data from cardiology ward and CCU.
Results: Total of 160 subjects were included in this study. 101 subjects (63.1%) were male while share of female subjects in the study was 59 (36.9%). Mean age of the participants was 57.54 ± 11.43 (mean±S.D) and a range of 32-91 years. Diabetes was present in 85 (53.1%) participants while other 75 participants (46.9%) were non-diabetics. Anterior MI was seen in 36 diabetic subjects, inferior MI in 23, Lateral MI in 8, 14 were with extensive wall MI, 2 antero-lateral 2 & infero-lateral MI in 2 diabetic subjects. Among non-diabetic participants, anterior MI was seen in 31 subjects, 11 had inferior MI, 14 were with lateral MI, 11 had extensive MI, 5 subjects showed antero-lateral and 3 were with infero-lateral MI of the heart.
Conclusion: Incidence of MI was found more in diabetics as compared to non-diabetics. Anterior wall MI was commonest among diabetic participants.