QATAR HEART PAGE Year : 2023  |  Volume : 24  |  Issue : 4  |  Page : 224-226  

Diabetes mellitus in acute myocardial infarction patients in Qatar

Rajvir Singh, Hajar Ahmed Hajar Albinali
Department of Adult Cardiology, Heart Hospital, Hamad Medical Corporation, Doha, Qatar

Date of Submission05-Sep-2023Date of Acceptance24-Sep-2023Date of Web Publication03-Nov-2023

Correspondence Address:
Dr. Hajar Ahmed Hajar Albinali
Department of Adult Cardiology, Heart Hospital, Hamad Medical Corporation, Post Box 3050, Doha
Qatar

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/heartviews.heartviews_102_23

How to cite this article:
Singh R, Albinali HA. Diabetes mellitus in acute myocardial infarction patients in Qatar. Heart Views 2023;24:224-6

The well-known association of diabetes with cardiovascular disease significantly impacts the prognosis and management of acute myocardial infarction (AMI), commonly known as a heart attack. Temporal trends and association of risk factors of diabetes mellitus (DM) patients in AMI cases were explored from 27,648 AMI cases of the cardiology registry between January 1991 and May 2022. 12313 (49.5%) of the total AMI patients were diabetes. The patients were on average 7 years older and significantly higher in mortality, hypertension, obesity, cardiorespiratory fitness, and old myocardial infarction than the non-DM patients. Chest pain, dizziness, palpitation, and shortness of breath (SOB) were more common in DM patients than the non-DM at the time of admission. Age, female, and non-Qatari patients were independently associated with DM after adjusting for other significant risk factors. An increasing trend of DM patients was also observed as per increasing quantile.

Figure 1: Distribution of diabetes mellitus patients in acute myocardial infarction cases

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Figure 3: Trend of diabetes mellitus patients in acute myocardial infarction cases

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Figure 4: Receiver operating characteristic for diabetes mellitus in acute myocardial infarction patients (C = 0.74, 95% confidence interval 0.73–0.75)

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Table 1: Comparison of risk factors between diabetes and non-diabetes mellitus in acute myocardial infarction cases

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Table 2: Comparison of laboratory parameters between diabetes mellitus (DM) and non-DM patients in acute myocardial infarction cases

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Table 3: Comparison of admission complaint, medication, complications, and procedures between diabetes and nondiabetes mellitus in acute myocardial infarction patients

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IQR: Interquartile range, DM: Diabetes mellitus

ROC: Receiver operating characteristic.

Key findings from the univariate and multivariate analysis:

There were more non-Qatari nationals with than NationalIncreasing trend observed over 30 yearsFemales were two times more likely to be affected than malesPatients with the disease had a higher inhospital mortality than those withoutIncreasing age were more likely to have the disease.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

  [Figure 1], [Figure 2], [Figure 3], [Figure 4]
 
 
  [Table 1], [Table 2], [Table 3]