Document Detail


Diabetes mellitus adversely affects the outcomes of thrombolytic therapy in patients with acute myocardial infarction.
MedLine Citation:
PMID:  12934765     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study was performed to evaluate whether coexistent diabetes mellitus has any adverse effect on the outcomes of thrombolytic therapy in patients with acute myocardial infarction. Although the early reperfusion rates were similar between the two groups of patients who had acute myocardial infarction with and without diabetes mellitus (42% vs 45.4%, p > 0.05), the results of late angiographic examination showed a significantly lower rate of patency in infarct-related coronary artery (defined as TIMI 3 flow) in diabetics compared to nondiabetics (28.9% vs 41.3%, p < 0.001). The global left ventricular function was also poorer in diabetics (left ventricular wall motion score was 18.6 +/- 7.3 in diabetics and 14.1 +/- 4.6 in nondiabetics, p < 0.01).
Authors:
Hakan Tikiz; Ugur Tezcan; Mehmet Ileri; Yücel Balbay; Ramazan Atak; Emine Kütük
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Angiology     Volume:  54     ISSN:  0003-3197     ISO Abbreviation:  Angiology     Publication Date:    2003 Jul-Aug
Date Detail:
Created Date:  2003-08-25     Completed Date:  2003-09-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  449-56     Citation Subset:  IM    
Affiliation:
University of Celal Bayar, Department of Cardiology, Manisa, Turkey. hakancant@superonline.com
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MeSH Terms
Descriptor/Qualifier:
Cardiomyopathies / complications*,  drug therapy*,  physiopathology
Collateral Circulation / physiology
Coronary Angiography
Coronary Disease / radiography
Diabetes Complications*
Diabetes Mellitus / physiopathology
Electrocardiography
Female
Fibrinolytic Agents / therapeutic use*
Humans
Male
Middle Aged
Streptokinase / therapeutic use*
Thrombolytic Therapy*
Tissue Plasminogen Activator / therapeutic use*
Ventricular Function, Left / physiology
Chemical
Reg. No./Substance:
0/Fibrinolytic Agents; EC 3.4.-/Streptokinase; EC 3.4.21.68/Tissue Plasminogen Activator

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