Specifics of the Course of Myocardial Infarction in Patients with Type 2 Diabetes Mellitus

Abstract

 Aim: identification 2 types of the factors burdening a current of the subacute period of a myocardial infarction associated with a diabetes mellitus.

 Materials and research methods: it is surveyed 120 patients who have worried the acute period of a myocardial infarction (not fatal): with a diabetes mellitus 2 types - 65 patients and without a diabetes mellitus 2 types – 55 Inspection of patients included: the collecting of complaints and the anamnesis, physical inspection, biochemical analyses and tool methods of research, electrocardiogram registration, and echocardiography when entering in a hospital, to the extremity of the acute period and at completion of hospitalization.

 Conclusions: the option of the beginning of a myocardial infarction, the serious course of cardial pathology caused by expression of a heart failure, by the larger frequency of development of arrhythmias and early postmyocardial infarction stenocardia is noted at patients with a diabetes mellitus myocardial ischemia without pain. Gravity of a myocardial infarction is aggravated with duration of a diabetic experience, a hyperglycemia, a diabetic nephropathcay and a neuropathy.The expressed decompensation, as well as rather low values of a glycosylated hemoglobin are accompanied by high prevalence of the IV class of gravity of a myocardial infarction, depression of fraction of emission of a left ventricle, early postmyocardial infarction stenocardia.