COMPARISON BETWEEN ST- ELEVATION ACUTE MYOCARDIAL INFARCTION IN DIABETIC AND NON-DIABETIC PATIENTS

Objective: The objective of this research work is to compare transmission, control of disease and some other aspects between the patients of diabetes and non-diabetic people admitted with ST- segment elevation acute myocardial infarction (STEMI). Methodology: The total number of participants in this study was 240. Seventy-six were the patients suffering of diabetes and one hundred and sixty-four were non diabetic. Results: Eleven patients among diabetic patients were recently detected. Female to male ratio in the diabetic disease was 1:1.5 but female to male ratio in the non-diabetic participants was 1:5.8. ST- segment elevation acute myocardial infarction was observed in high rates in the patients of diabetes than non-diabetic patients at the age from fifty-five tears to sixty-four years. Eighty-two percent patients reported at hospital within 6 hours of the start of the pain in the chest. About fifty-three percent were smoking from many years, forty percent patients found with fully established dyslipidaemia, about thirty-three percent patients were fat, thirty-two percent patients were suffering of diabetes and twenty-nine percent were the cases of hypertension. An important amount of the non-diabetic patients was smoking from many years but an important percentage of the diabetic patients were fat. Dyslipidaemia was concluded as a major danger factor in the patients of diabetes but it was at number three in the case of non-diabetic patients. The sideways infarction was much frequent in the patients of diabetes. The level of Trop-T was less in forty-six percent and high in fifty-four percent patients of diabetes. The level of Trop-T was found negative in ten percent, discoverable in three percent, less in thirty-nine percent and high in forty-eight percent non-diabetic patients. The average amount of different enzymes did not present any disparity between the patients of diabetes and non-diabetics as Trop-T, CK and CK-MB. The average duration spent by the patients in the hospital was about 5.99±1.04 days. Conclusion: Fatness, smoking, dyslipidaemia were the major danger factors of ST- segment elevation acute myocardial infarction. The most common site is anterior Infarction. In the patients of diabetes, the probability of ST- segment elevation acute myocardial infarction is similar in men and women but in the non-diabetics it is six men to one woman. Key Words: STEMI, segment, elevation, diabetes, danger aspects, non-diabetic, Trop-T, CK, CK-MB