scholarly journals Recent US Patterns and Predictors of Prevalent Diabetes among Acute Myocardial Infarction Patients

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Bruce Ovbiagele ◽  
Daniela Markovic ◽  
Gregg C. Fonarow
Keyword(s):  
Diabetes Mellitus ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Time Trends ◽  
Clinical Characteristics ◽  
Disease Burden ◽  
Nationwide Inpatient Sample ◽  
Discharge Diagnosis ◽  
Vascular Risk ◽  
The Us

Background. Diabetes mellitus (DM) confers high vascular risk and is a growing national epidemic. We assessed clinical characteristics and prevalence of diagnosed DM among patients hospitalized with acute myocardial infarction (AMI) in the US over the last decade.Methods. Data were obtained from all states within the US that contributed to the Nationwide Inpatient Sample. All patients admitted to hospitals between 1997 and 2006 with a primary discharge diagnosis of AMI were included. Time trends in the proportion of these patients with DM diagnosis were computed.Results. The portion of patients with comorbid diabetes among AMI hospitalizations increased substantially from 18% in 1997 to 30% in 2006 (). Absolute numbers of AMI hospitalizations in the US decreased 8% (from 729, 412 to 672, 243), while absolute numbers of AMI hospitalizations with coexisting DM rose 51% ((131, 189 to 198, 044), both (). Women with AMI were significantly more likely to have DM than similarly aged men, but these differences diminished with increasing age.Conclusion. Although overall hospitalizations for AMI in the US diminished over the last decade, prevalence of diabetes rose substantially. This may have important consequences for the future societal vascular disease burden.

Abstract 11187: Atrial Fibrillation in Women With Acute Myocardial Infarction: Insights From a 20-Years Registry in Qatar (1991-2010)

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Amar M Salam ◽  
Hajar AlBinali ◽  
Rajvir Singh ◽  
Awad Al-Qahtani ◽  
Nidal Asaad ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Myocardial Infarction ◽  
Atrial Fibrillation ◽  
Acute Myocardial Infarction ◽  
Clinical Characteristics ◽  
Significant Risk ◽  
World Population ◽  
Chronic Renal Impairment ◽  
St Elevation ◽  
Scarce Data

Objectives: There is very scarce data on women with atrial fibrillation (AF) in the setting of acute myocardial infarction (AMI). The aim of this study was to compare women and men with AF during hospitalization with AMI in a real-world population. Methods: Retrospective analysis of all patients hospitalized with AMI and AF in Qatar from 1991 through 2010 was made. Patients were divided into two groups according to gender. Clinical characteristics, management and outcomes were analyzed. Results: During the 20-years period, 12871 patients were hospitalized with AMI; 1611 women and 11260 men. Of these 227 patients developed AF during hospitalization; 69 women (4.3%) and 158 men (1.4%), p <0.05. Women with AF were 6 years older and had significantly higher rates of hypertension (72.5% vs. 44.3%), diabetes mellitus (66.7% vs. 43%), dyslipidemia (18.8% vs. 7.6%) and chronic renal impairment (8.7% vs. 7%) compared to men [all P=0.001]. Non ST-elevation AMI was the commonest underlying type of AMI in both sexes and it was more common in women compared to men (81.2% vs. 67.7%, P= 0.04). Women with AF had significantly longer hospital stay compared to men (8.5 days versus 6 days, p=0.02) whereas in-hospital mortality and stroke rates were comparable between the two groups [table]. Conclusions: We report significant risk profiles differences and a higher prevalence of AF following AMI in women. Further studies are warranted to further explore and confirm this observation in larger registries.

scholarly journals -43-CLINICAL CHARACTERISTICS OF ACUTE MYOCARDIAL INFARCTION IN PATIENTS WITH DIABETES MELLITUS : WITH RESPECT TO THE INCIDENCE OF POWER FAILURE

1986 ◽  
Vol 50 (6) ◽  
pp. 471-472
Author(s):  
Shinichiro Ishikawa ◽  
Masayuki Taniguchi ◽  
Shunichi Fukuhara ◽  
Masako Toyama ◽  
Masahito Naito ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Clinical Characteristics ◽  
Power Failure ◽  
Patients With Diabetes

Incidence, Clinical Characteristics, and Prognostic Significance of Right Bundle-Branch Block in Acute Myocardial Infarction

Circulation ◽  
1997 ◽  
Vol 96 (4) ◽  
pp. 1139-1144 ◽  
Author(s):  
Antonio Melgarejo-Moreno ◽  
Jose Galcerá-Tomás ◽  
Arcadio García-Alberola ◽  
Mariano Valdés-Chavarri ◽  
Francisco J. Castillo-Soria ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Right Bundle Branch Block ◽  
Clinical Characteristics ◽  
Prognostic Significance ◽  
Bundle Branch Block

scholarly journals Importance of Geospatial Heterogeneity in Chronic Disease Burden for Policy Planning in an Urban Setting Using a Case Study of Singapore

2021 ◽  
Vol 18 (9) ◽  
pp. 4406
Author(s):  
Ken Wei Tan ◽  
Joel R. Koo ◽  
Jue Tao Lim ◽  
Alex R. Cook ◽  
Borame L. Dickens
Keyword(s):  
Diabetes Mellitus ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Chronic Disease ◽  
Type Ii Diabetes ◽  
Census Data ◽  
Type Ii Diabetes Mellitus ◽  
Urban Setting ◽  
Type Ii

Chronic disease burdens continue to rise in highly dense urban environments where clustering of type II diabetes mellitus, acute myocardial infarction, stroke, or any combination of these three conditions is occurring. Many individuals suffering from these conditions will require longer-term care and access to clinics which specialize in managing their illness. With Singapore as a case study, we utilized census data in an agent-modeling approach at an individual level to estimate prevalence in 2020 and found high-risk clusters with >14,000 type II diabetes mellitus cases and 2000–2500 estimated stroke cases. For comorbidities, 10% of those with type II diabetes mellitus had a past acute myocardial infarction episode, while 6% had a past stroke. The western region of Singapore had the highest number of high-risk individuals at 173,000 with at least one chronic condition, followed by the east at 169,000 and the north with the least at 137,000. Such estimates can assist in healthcare resource planning, which requires these spatial distributions for evidence-based policymaking and to investigate why such heterogeneities exist. The methodologies presented can be utilized within any urban setting where census data exists.

P5502Comparison of clinical characteristics and prognosis between non-octogenarians and octogenarians with cardiac troponin positive acute myocardial infarction

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
T Soeda ◽  
M Ishihara ◽  
F Fujino ◽  
H Ogawa ◽  
K Nakao ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Hospital Mortality ◽  
Cardiac Troponin ◽  
Clinical Characteristics ◽  
St Segment Elevation ◽  
The Poor ◽  
St Segment ◽  
Universal Definition ◽  
Multicenter Registry

Abstract Background Cardiac troponin (cTn) is the preferred biomarker for the diagnosis of acute myocardial infarction (AMI). Octogenarians who presented cTn positive AMI are not usually recruited in clinical trials. Therefore, their clinical characteristics and prognosis are rarely investigated. Objective To study the characteristics and prognosis in octogenarians who presented cTn positive AMI. Methods and results The Japanese registry of acute Myocardial INfarction diagnosed by Universal dEfiniTion (J-MINUET) is a prospective and multicenter registry. A total of 3,283 consecutive AMI patients who were diagnosed by cTn-based criteria were included. The patients were divided into non-octogenarians (n=2,593) and octogenarians (n=690). Compared with non- octogenarians, octogenarians showed significantly lower incidence of diabetes mellitus (37.6% and 31.9%, p=0.006) and dyslipidemia (53.6% and 45.6%, p<0.001), and significantly higher incidence of hypertension (64.1% and 75.3%, p<0.001) and chronic kidney disease (38.7% and 68.7%, p<0.001). Octogenarians showed significantly longer onset to door time (p<0.001) and longer door to device time (p<0.001). Though, compared with non-octogenarians, octogenarians showed lower peak CK (2,506 and 1,926, p<0.001), LVEF was significantly lower in octogenarians (54.6% and 52.6%, p=0.005). The presentation of AMI was different between the two group. The incidence of ST-segment elevation MI (STEMI) was 70.7% in non-octogenarians and 62.0% in octogenarians. Non-STEMI with CK elevation and without CK elevation were 16.2% and 13.1% in non- octogenarians, and 20.9% and 17.1% in octogenarians. In-hospital mortality was higher in octogenarians (4.7% and 13.2%, P<0.001). Especially, octogenarians with STEMI and non-STEMI with CK elevation showed the highest in-hospital mortality. And octogenarians without CK elevation showed similar in hospital mortality with non-octogenarians with STEMI (Figure). Conclusions J-MINUET showed the poor prognosis of octogenarians who were diagnosed as AMI based on cTn. Acknowledgement/Funding None

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