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Submitted: 15 April 2019 Modified: 15 April 2019
HERDIN Record #: 100731-19041514120717

Acute myocardial infraction survival among diabetic patients admitted in the Philippine Heart Center.

Arnel Bien L. Arenas,
Santos Jose G. Abad III

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Coronary Artery Disease continues to be the principal cause of death in patient with diabetes mellitus and accounts for almost 80% of all deaths among diabetic patients. The excess in-hospital mortality of diabetic patients results primarily from an increase incidence of congestive heart failure, reduced compensatory ability of the non-infarcted myocardium due to diabetic cardiomyopathy, severe coronary artery disease, decreased vasodilatory reserve of epicardial and resistance arteries and possibly abnormal metabolism of myocardial substrate. Late mortality results from increased re-infarction rates caused by the diffuse nature of atherosclerotic disease and hypercoagulable state, platelet hypereactivity, reduced fibrinolytic capacity, increased concentrations of hemostatic proteins and endothelial dysfunction promote thrombosis at the site of plaque rupture. In the Philippines, data on survival and mortality among diabetic patients with Acute Myocardial Infarction has not been reported yet hence this study was initiated by the author to give us a picture among this subsets of patient with Acute Myocardial Infarction.

Publication Type
Research Report
Date
January 1-December 31, 2000
LocationLocation CodeAvailable FormatAvailability
Philippine Heart Center Medical Library PHC.R.031.00 Fulltext Print Format