Details

Autor(en) / Beteiligte

• Ulvenstam, G
• Aberg, A
• Bergstrand, R
• Johansson, S
• Pennert, K
• Vedin, A
• Wilhelmsen, L
• Wilhelmsson, C

Titel

Long-term prognosis after myocardial infarction in men with diabetes

Ist Teil von

• Diabetes (New York, N.Y.), 1985-08, Vol.34 (8), p.787-792

Ort / Verlag

United States

Erscheinungsjahr

1985

Quelle

MEDLINE

Beschreibungen/Notizen

• Men (1306) who survived a first myocardial infarction (MI) were studied. The mean follow-up time was 6.5 yr, and at the end of the follow-up period survival status was known for all patients. By the time of the MI the prevalence of diabetes was 5.6%. Patients with and without diabetes were compared. There were no differences in the estimated primary or secondary risk. The cumulative survival rate 1, 2, and 5 yr after the MI was 82, 78, and 58% among the diabetic subjects compared with 94, 92, and 82% among the nondiabetic subjects (P less than 0.001). The difference remained even after allowance for age and estimated secondary risk in a multivariate regression analysis. There were no differences in mortality rates among patients with type I diabetes compared with type II diabetes, nor among patients treated with diet alone, sulfonylurea, or insulin, but the numbers were small. The cumulative rate of reinfarctions after 1, 2, and 5 yr was 18, 28, and 46% in diabetic subjects and 12, 17, and 27% in nondiabetic subjects (P = 0.004). A history of diabetes was an independent secondary risk factor among male survivors of a first MI with respect to deaths and reinfarctions.