Impact of Diabetes on presentation and outcome Acute Myocardial Infraction, Libyan Experience Tripoli Medical Centre

Original article


Hawa Juma El-Sharief

Endocrine Department Tripoli Medical Centre, Tripoli – Libya

JMJ Vol.3 No.2 (September) 2004: 38-42


To assess impact of diabetes on presentation, and outcome, we examined 622 patients (300 diabetic and 322 non-diabetic patients) admitted to Tripoli Medical Centre (TMC), with acute myocardial infarction (MI) over three years period. Overall, diabetics had a higher prevalence of hypertension (40.3% versus 31.3%, P <0.02), and had lower rates of smoking history (P<0.001) They were more likely to present late, P<0.001. Diabetics had a higher incidence of cardiogenic shock (13.3% versus 8.4%, P<0.05) and acute pulmonary oedema (7.3% versus 3.7%, P<0.0001) than non-diabetic patients. Diabetics are less likely to receive thrombolytic therapy (43% vs. 62%, P<0.001) but the rate of prescribing angiotensin converting enzyme (ACE) inhibitors at hospitalization and on discharge is more among diabetics (P<0.001). The overall mortality rate during hospitalization among diabetic patients was 19%, and among non-diabetics16%. This study highlights the burden of diabetes mellitus as a cardiovascular risk factor among our population, and call for implementation of vigorous primary and secondary preventive measures. Keywords: Diabetes, Acute Myocardial Infraction Link/DOI: