PROGNOSTIC-SIGNIFICANCE OF DIABETES-MELLITUS IN PATIENTS WITH ACUTE MYOCARDIAL-INFARCTION AFTER RECANALIZATION

Although diabetic patients are at high risk for ischemic heart disease , the effect of diabetes mellitus on the prognosis of patients with ac ute myocardial infarction after recanalization therapy is controversia l. In this study 255 patients with acute myocardial infarction admitte d to CCU for coronary recanalization therapy were studied. In 95 diabe tic patients, in-hospital mortality (26% for 4 weeks), complication of heart failure (35%) were significantly higher than in 160 non-diabeti c patients (mortality 5%, and heart failure 11%), whereas incidence of post-infarction angina is not different between the two groups. Morta lity in diabetic patients was not influenced by previous history of my ocardial infarction and the number of diseased vessels. Multivariate a nalysis of risk factors showed that among non-cardiac risk factors, di abetes mellitus is a most important risk factor for short-term prognos is of patients with acute myocardial infarction.