Journal Info

Title: Jurnal Medical Aradean (Arad Medical Journal)
Abbreviated title: J. Med. Ar.
Publisher: "Vasile Goldis" University Press
Owner: Western University "Vasile Goldis" Arad, Romania
ISSN: 1224-3744
e-ISSN: 2067-7790

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Influence of Diabetes mellitus on short term mortality in patients with first acute ST PDF Print E-mail
Written by Pop C., Pop L., Roman M., Dan D., Dicu D.   
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Article Title: Influence of Diabetes mellitus on short term mortality in patients with first acute ST - Elevation myocardial infarction: a ten years retrospective study
Authors: Calin Pop1,2, Lavinia Pop2, Mihaela Roman2, Delia Dan2, Daniela Dicu2
Affiliation: 1 “Vasile Goldis” Western University Arad, Romania
2 Emergency County Hospital Baia Mare, Romania
Abstract: The objective was to compare short-term mortality after a first acute myocardial infarction with ST elevation (STEMI) in patients with and without diabetes mellitus (DM). Between 1.01.2000 - 31.12.2009, 1335 STEMI patients were admitted in the Baia Mare Emergency Hospital: 660 (142 DM) had no thrombolysis, 675 (136 DM) received thrombolysis. In-hospital mortality was 19.4% in the 278 DM patients and 14.3% in the 1057 non-DM patients (p=0.002). Mortality in the subgroups was different: 11.3% in the 539-thrombolysed non-DM patients, 16.5 % in the 136-DM thrombolysed patients (p=0.01) and 21.4% in 142 DM patients without thrombolysis (p<0.0001). DM patients had more failed thrombolysis, 5.8% vs. 2.1%, and more recurrent ischemia, 9.3 % vs. 4.6 %, than non-DM patients had (p=0.002). Short-term mortality after a first STEMI in DM patients is higher due to a worse clinical profile but also to a less effective myocardial reperfusion.
Keywords: mortality, STEMI, diabetes mellitus, thrombolysis, myocardial reperfusion
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*Correspondence: Calin Pop, Faculty of Medicine, Vasile Goldis Western University Arad, Str. Unirii nr. 3 Arad 310123 Romania, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it