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Myocardial infarction in old people. The influence of diabetes mellitus

Day, J. J., Bayer, Antony James, Chadha, J. S. and Pathy, M. S. J. 1988. Myocardial infarction in old people. The influence of diabetes mellitus. Journal of the American Geriatrics Society 36 (9) , pp. 791-794.

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Abstract

The clinical features and outcome were determined for 100 consecutive patients aged 65 years or older with a history of diabetes mellitus who presented to hospital with acute myocardial infarction. Each case was compared with an age- and sex-matched nondiabetic control also admitted to hospital with acute myocardial infarction. Chest pain was equally common in both groups and was the main presenting symptom. Cardiac failure was a more frequent accompaniment in the diabetics, despite the lack of evidence for greater infarct size in this group. The outcome was worst for female diabetics, of whom 46% died. Contrary to popular teaching, painless myocardial infarction is not a specific feature of elderly diabetics.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Publisher: Wiley
ISSN: 0002-8614
Last Modified: 04 Jun 2017 05:14
URI: http://orca.cf.ac.uk/id/eprint/50062

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