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Original Research 
RMJ. 2007; 32(2): 131-134


Effects of Diabetes Mellitus on Outcome of Patients with First Acute Myocardial Infarction

Jahanbakhsh Samadikhah, Seyed Hadi Hakim, Ali Reza Yaghoubi, Rezvanieh Salehi, Azin Alizadeh Asl, Rasoul Azarfarin.


Abstract
Objectives: To evaluate the effects of diabetes mellitus (DM) on outcome and survival of patients with first
acute Myocardial Infarction (AMI).
Methods: In 500 patients (358 men and 142 women), 74 (12.6%) were diabetic, and rest of them were non–
diabetic. All diabetic patients were divided in to two groups, Group A included 13 patients with type 1 DM
and the group B included 61 patients with type 2 DM.
Results: Age–Adjusted mortality in one year follow-up for women with DM was 22%, and significantly
higher than 13% in women without DM, (relative risk (RR) 1.69 and 95% CI 1.21 to 2.06). Mortality rate for
men with DM (21%) and without DM (16%) was also significantly different (RR 1.31 and 95% CI 1.05-
1.62). Painless AMI occurred in15.4% of patients with type 1 and 14.4% of patients with type 2. One year
mortality rate in both type 1 and 2 were 19.6% and 21.3% respectively (p>0.05). According to angiographic
data, diabetic patients had more involved arteries than non diabetics (mean 2.62 vs. 2.07 vessels; P<0.05).
Left ventricular function study demonstrated 34.03% of diabetic patients had lower (<40%) ejection fraction
(EF), while 17.6% of nondiabetic patients had EF<40% (p<0.05).
Conclusion: Our results emphasis the role of DM as a risk factor of severity of coronary artery disease and
as a predictor of adverse outcome after first AMI. (Rawal Med J 2007;32:131-134).

Key words: Acute myocardial infarction, diabetes mellitus type 1 and type 2, painless AMI, Mortality rate.


 
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How to Cite this Article
Pubmed Style

Samadikhah J, Hakim SH, Yaghoubi AR, Salehi R, Asl AA, Azarfarin R. Effects of Diabetes Mellitus on Outcome of Patients with First Acute Myocardial Infarction. RMJ. 2007; 32(2): 131-134.

Web Style

Samadikhah J, Hakim SH, Yaghoubi AR, Salehi R, Asl AA, Azarfarin R. Effects of Diabetes Mellitus on Outcome of Patients with First Acute Myocardial Infarction. https://www.rmj.org.pk/?mno=7592 [Access: June 27, 2026].

AMA (American Medical Association) Style

Samadikhah J, Hakim SH, Yaghoubi AR, Salehi R, Asl AA, Azarfarin R. Effects of Diabetes Mellitus on Outcome of Patients with First Acute Myocardial Infarction. RMJ. 2007; 32(2): 131-134.


Vancouver/ICMJE Style

Samadikhah J, Hakim SH, Yaghoubi AR, Salehi R, Asl AA, Azarfarin R. Effects of Diabetes Mellitus on Outcome of Patients with First Acute Myocardial Infarction. RMJ. (2007), [cited June 27, 2026]; 32(2): 131-134.


Harvard Style

Samadikhah, J., Hakim, . S. H., Yaghoubi, . A. R., Salehi, . R., Asl, . A. A. & Azarfarin, . R. (2007) Effects of Diabetes Mellitus on Outcome of Patients with First Acute Myocardial Infarction. RMJ, 32 (2), 131-134.


Turabian Style

Samadikhah, Jahanbakhsh, Seyed Hadi Hakim, Ali Reza Yaghoubi, Rezvanieh Salehi, Azin Alizadeh Asl, and Rasoul Azarfarin. 2007. Effects of Diabetes Mellitus on Outcome of Patients with First Acute Myocardial Infarction. Rawal Medical Journal, 32 (2), 131-134.


Chicago Style

Samadikhah, Jahanbakhsh, Seyed Hadi Hakim, Ali Reza Yaghoubi, Rezvanieh Salehi, Azin Alizadeh Asl, and Rasoul Azarfarin. "Effects of Diabetes Mellitus on Outcome of Patients with First Acute Myocardial Infarction." Rawal Medical Journal 32 (2007), 131-134.


MLA (The Modern Language Association) Style

Samadikhah, Jahanbakhsh, Seyed Hadi Hakim, Ali Reza Yaghoubi, Rezvanieh Salehi, Azin Alizadeh Asl, and Rasoul Azarfarin. "Effects of Diabetes Mellitus on Outcome of Patients with First Acute Myocardial Infarction." Rawal Medical Journal 32.2 (2007), 131-134. Print.


APA (American Psychological Association) Style

Samadikhah, J., Hakim, . S. H., Yaghoubi, . A. R., Salehi, . R., Asl, . A. A. & Azarfarin, . R. (2007) Effects of Diabetes Mellitus on Outcome of Patients with First Acute Myocardial Infarction. Rawal Medical Journal, 32 (2), 131-134.


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