IN-HOSPITAL MORTALITY IN ST ELEVATION MYOCARDIAL INFARCTION: DIABETIC VS. NON-DIABETIC PATIENTS
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Keywords
STEMI, Diabetes Mellitus, In-Hospital Mortality, Cardiovascular Complications, Risk Stratification.
Abstract
Introduction: ST-Elevation Myocardial Infarction (STEMI) is one of the main causes of death in the world population. Diabetes mellitus is a recognised risk factor for poor cardiovascular outcomes, but its effects on in-hospital death in STEMI patients have not been well established.
Objective: To compare the mortality rates and complications in diabetic and non-diabetic patients with STEMI who arrived in hospital.
Material and Method: The study was done at the Department of Medicine, FFC Medical Centre Rahim Yar, where a comparative observational study was carried out from November, 2024 to April, 2025. It involved 320 patients with STEMI (150 diabetics and 170 non-diabetics). SPSS v25 was used to analyze clinical data, complications, and mortality rates.
Results: The in-hospital mortality of diabetic patients was significantly higher than that of non-diabetics (15.3 % and 5.3%, respectively). Heart failure, arrhythmias, and cardiogenic shock occurred more often in diabetics. The additional factors were late presentation and comorbidities.
Conclusion: Diabetes worsens the in-hospital mortality and morbidity in STEMI patients. Rapid risk stratification and individualized management are critical towards improving outcomes.
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Nazia Israr
Assistant Professor, Department of Medicine, Healthcare Hospital Nowshera, KPK, Pakistan
Abbas Khan
Khyber Medical College Peshawar, Pakistan
Ali Shaheer
MD, FCPS, MRCP, Head of Medical Department, FFC Medical Centre Rahim Yar Khan, Pakistan
Niaz Ahmed
Professor, Department Medicine, Shaheed Mohtarma Benazir Bhutto Medical College, Lyari
Karachi and Sindh Government Lyari General Hospital, Pakistan
Kubra Maryum
Senior Registrar Cardiology, Chaudhry Muhammad Akram Teaching & Research Hospital, Lahore, Pakistan
Dial Das
Associate Professor, Department of Pharmacology, Chandka Medical College, Larkana Sindh, Pakistan