The impact of diabetes mellitus on long-term mortality in patients with STEMI after primary PCI
Introduction: Primary percutaneous coronary intervention (PPCI) is a gold standard in treating patients with acute myocardial infarction (AMI) with ST Elevation Myocardial Infarction (STEMI). Aim: The aim of this study is to evaluate the impact of diabetic status three year survival in patients with...
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| Format: | Article |
| Language: | English |
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University of Belgrade, Medical Faculty
2017-01-01
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| Series: | Medicinski Podmladak |
| Subjects: | |
| Online Access: | https://scindeks-clanci.ceon.rs/data/pdf/0369-1527/2017/0369-15271704006R.pdf |
| _version_ | 1818277254016270336 |
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| author | Radomirović Marija Stanković Goran |
| author_facet | Radomirović Marija Stanković Goran |
| author_sort | Radomirović Marija |
| collection | DOAJ |
| description | Introduction: Primary percutaneous coronary intervention (PPCI) is a gold standard in treating patients with acute myocardial infarction (AMI) with ST Elevation Myocardial Infarction (STEMI). Aim: The aim of this study is to evaluate the impact of diabetic status three year survival in patients with STEMI treated with PPCI on admission. Material and methods: We analyzed 499 STEMI patients treated with primary PCI, from a prospective, electronic database of the Clinical Center of Serbia Catheterization Laboratory -that contains patient records from 2009 to 2016. Patients were divided into 2 groups: patients with diabetes mellitus (DM) and those without DM. Results: Our results showed that 416 (83,4%) patients did not have DM and 83 (16,6%) had DM. There was a statistically significant difference in mortality rate among two groups after 30 days and 3 years after intervention (DM 13,3% vs without DM 4,1%, p=0,003 after 30 days; DM 21,7% vs without DM 10,6%, p=0,010 after 3 years). However, when adjusted for other baseline risk factors, DM was not an independent predictor of 3-year mortality (HR=1,275, 95% CI 0,652-2,494, p=0,478). Conclusion: Patients with DM had higher mortality rates in both short-term and long-term follow-ups after PPCI. |
| first_indexed | 2024-12-12T22:58:37Z |
| format | Article |
| id | doaj.art-07e23fa0ca5a48f7806f556ab47d5a68 |
| institution | Directory Open Access Journal |
| issn | 0369-1527 2466-5525 |
| language | English |
| last_indexed | 2024-12-12T22:58:37Z |
| publishDate | 2017-01-01 |
| publisher | University of Belgrade, Medical Faculty |
| record_format | Article |
| series | Medicinski Podmladak |
| spelling | doaj.art-07e23fa0ca5a48f7806f556ab47d5a682022-12-22T00:08:53ZengUniversity of Belgrade, Medical FacultyMedicinski Podmladak0369-15272466-55252017-01-016846110369-15271704006RThe impact of diabetes mellitus on long-term mortality in patients with STEMI after primary PCIRadomirović Marija0Stanković Goran1Univerzitet u Beogradu, Medicinski fakultetUniverzitet u Beogradu, Medicinski fakultet + Klinika za kardiologiju, Klinički centar Srbije, BeogradIntroduction: Primary percutaneous coronary intervention (PPCI) is a gold standard in treating patients with acute myocardial infarction (AMI) with ST Elevation Myocardial Infarction (STEMI). Aim: The aim of this study is to evaluate the impact of diabetic status three year survival in patients with STEMI treated with PPCI on admission. Material and methods: We analyzed 499 STEMI patients treated with primary PCI, from a prospective, electronic database of the Clinical Center of Serbia Catheterization Laboratory -that contains patient records from 2009 to 2016. Patients were divided into 2 groups: patients with diabetes mellitus (DM) and those without DM. Results: Our results showed that 416 (83,4%) patients did not have DM and 83 (16,6%) had DM. There was a statistically significant difference in mortality rate among two groups after 30 days and 3 years after intervention (DM 13,3% vs without DM 4,1%, p=0,003 after 30 days; DM 21,7% vs without DM 10,6%, p=0,010 after 3 years). However, when adjusted for other baseline risk factors, DM was not an independent predictor of 3-year mortality (HR=1,275, 95% CI 0,652-2,494, p=0,478). Conclusion: Patients with DM had higher mortality rates in both short-term and long-term follow-ups after PPCI.https://scindeks-clanci.ceon.rs/data/pdf/0369-1527/2017/0369-15271704006R.pdfDMSTEMIPPCI |
| spellingShingle | Radomirović Marija Stanković Goran The impact of diabetes mellitus on long-term mortality in patients with STEMI after primary PCI Medicinski Podmladak DM STEMI PPCI |
| title | The impact of diabetes mellitus on long-term mortality in patients with STEMI after primary PCI |
| title_full | The impact of diabetes mellitus on long-term mortality in patients with STEMI after primary PCI |
| title_fullStr | The impact of diabetes mellitus on long-term mortality in patients with STEMI after primary PCI |
| title_full_unstemmed | The impact of diabetes mellitus on long-term mortality in patients with STEMI after primary PCI |
| title_short | The impact of diabetes mellitus on long-term mortality in patients with STEMI after primary PCI |
| title_sort | impact of diabetes mellitus on long term mortality in patients with stemi after primary pci |
| topic | DM STEMI PPCI |
| url | https://scindeks-clanci.ceon.rs/data/pdf/0369-1527/2017/0369-15271704006R.pdf |
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