High mortality in obese women diabetics with acute myocardial infarction. Issue 6077 (25th June 1977)

• Record Type: Journal Article
• Authors: Tansey, M J; Opie, L H; Kennelly, B M
• Is Part Of: BMJ. Volume 1:Issue 6077(1977)
• Page Start: 1624
• Page End: 1626
• Publication Date: 1977-06-25
• Subjects: Medicine -- Periodicals; Medicine -- Periodicals; Medicine; Periodicals; 610
• DOI: 10.1136/bmj.1.6077.1624
• Languages: English
• ISSNs: 0007-1447

Abstract

Abstract : The factors associated with mortality in 89 diabetics and 793 non-diabetics with acute myocardial infarction who were initially admitted to a coronary care unit were analysed retrospectively. During their stay in hospital diabetics had twice the mortality of non-diabetics. The higher mortality among diabetics was largely accounted for by obese women, who had a hospital mortality of 43%. There was an increased incidence of congestive heart failure in such patients. A therapeutic trial should be performed in such patients to assess whether insulin has an effect on infarct size.