A PROSPECTIVE STUDY ON ANAEMIA AS A MORTALITY RISK FACTOR IN DIABETIC AND NON-DIABETIC PATIENTS FOLLOWING ACUTE MYOCARDIAL INFARCTION.

Authors

  • Rashmi Rani Bharti Assistant Professor, Department of Pathology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.
  • Sanjay Kumar Assistant Professor, Department of Medicine, Patna Medical College and Hospital, Patna, Bihar, India.
  • Guddi Rani Singh Assistant Professor, Department of Pathology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.
  • Mamta Kumari Assistant Professor, Department of Pathology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.

DOI:

https://doi.org/10.51168/sjhrafrica.v4i12.823

Keywords:

Diabetes Mellitus, Acute Myocardial Infarction, Anemia, Congestive Heart Failure

Abstract

Introduction:

Short-term mortality is related to hyperglycemia, acute myocardial infarction (AMI), and anemia. Diabetes patients are more likely to suffer from anemia. To investigate the impact of diabetes patients also having anemia on myocardial infarction outcomes, we conducted a retrospective study.

Methodology:

From a registry that is disease-specific and population-based, information about every patient consecutively hospitalized with AMI was gathered. Diabetes and anemia were present in four groups of patients.

Results:

32.2% of Group A, 16% of Group B, 21.45% of Group C, and 6.6% of Group D experienced 30-day mortality (all p < 0.001). Groups A, B, C, and D had, in that order, 31 days to 36 months mortality rates of 47.6%, 20.8%, 34.3%, and 10.4% (all p < 0.001). At 36 months, the odds ratios for diabetes and anemia were 1.61 (1.40–1.84, p < 0.001) and 1.58 (1.37–1.86, p < 0.001), respectively, suggesting that both illnesses remained independent risk factors for death. Of the deaths that occurred between 31 days and 36 months, 43.7% in Group A were due to cardiovascular causes, 54.0% in Group B, 47.1% in Group C, and 50.9% in Group D (p < 0.05, A vs. B).

Conclusion:

When compared to either diabetes or anemia patients alone, patients who have diabetes and anemia both have a greater death rate. In all groups, cardiovascular death continued to be the most common death cause.

Recommendation:

According to our findings, individuals with anemia who have experienced a myocardial infarction with or without diabetes may safely have prompt primary percutaneous coronary intervention; nevertheless, they should take extra care to maintain hemoglobin levels.

Author Biographies

Rashmi Rani Bharti, Assistant Professor, Department of Pathology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.

Assistant Professor, Department of Pathology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.

Sanjay Kumar, Assistant Professor, Department of Medicine, Patna Medical College and Hospital, Patna, Bihar, India.

Assistant Professor, Department of Medicine, Patna Medical College and Hospital, Patna, Bihar, India.

Guddi Rani Singh, Assistant Professor, Department of Pathology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.

Assistant Professor, Department of Pathology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.

Mamta Kumari, Assistant Professor, Department of Pathology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.

Assistant Professor, Department of Pathology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.

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Published

2023-12-03

How to Cite

Bharti, R. R. ., Kumar, S. ., Singh, G. R. ., & Kumari, M. . (2023). A PROSPECTIVE STUDY ON ANAEMIA AS A MORTALITY RISK FACTOR IN DIABETIC AND NON-DIABETIC PATIENTS FOLLOWING ACUTE MYOCARDIAL INFARCTION. Student’s Journal of Health Research Africa, 4(12), 5. https://doi.org/10.51168/sjhrafrica.v4i12.823

Issue

Section

Section of Non-communicable Diseases Research

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