Clinical follow up study of patients with acute coronarys yndrome and type 2 diabetes mellitus
SUN Jing
NAN Xing
HUANG Hui
YING Mingzhong
Abstract：Objective To investigate the incidence of adverse cardiovascular events in patients with acute coronary syndrome ( ACS) and type 2 diabetes mellitus ( DM) .Methods Five hudred and sixty-eight patients with ACS diagnosed in PLA General Hospital from April 2007 to April 2008 were divided into ACS with diabetes mellitus group ( n =125 ) and ACS without diabetes group ( n =443).Collected the clinical data and follow-up questionnaires and follow-up study for end point of adverse cardiovascular events ( including angina , myocardial infarction , cardiogenic shock , cardiac death , target vessel re-vascularization and stent thrombosis ) , comparative analysis of clinical features and prognosis of ACS patients with type 2 dia-betes group and ACS without type 2 diabetic patients.Results The median follow-up time was 8 years, with a median follow-up of 7.3 years.A total of 546 cases (96.13%) patients completed follow-up, ACS with diabetes group MACE was higher than patients without diabetes group (44.8%vs.14.3%,χ2 =10.876, P =0.035), Cox regression analysis showed that age, fasting blood glucose were significant risk of adverse cardiovascular events predictor ( OR =1.003, 95%CI1 .001-1.031, OR =1.533, P =00.38 ;95%CI 1.131-2.077, P =0.012).Conclusions Patients with ACS complicated with type 2 diabetes mellitus are at high risk of major adverse cardiac events .Fasting plasma glucose is a predictor of MACE .
Keywords：Acute coronary syndromeDiabetesMajor adverse cardiac events
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 109-112 )