Myocardial Infarction in Diabetic Patients
スポンサーリンク
概要
- 論文の詳細を見る
Fifty five consecutive autopsy cases of primary diabetes at Saiseikai Central Hospital and sixteen cases of typical myocardial infarction in primary diabetes who were not autopsied or survived myocardial infarction were divided into 3 groups to study their differences.<BR>I: Myocardial infarction (MI) group (22 patients who developed MI)<BR>II: Latent MI group (6 patients who had scattered small necrosis in myocardium at autopsy, although they had no evidence of MI clinically)<BR>III: Non MI group (43 patients with no muscle necrosis at autopsy)<BR>Patients with fasting blood sugar of 201mg/d<I>l</I> or more at initial examination, patients whose fasting blood sugar could not be controlled mostly under 201mg/d<I>l</I>, patients with weight less than the ideal weight at initial examination, and the patients treated predominantly with insulin, were noticed less frequently with statistical significance (p<0.05) in the MI group than in the non-MI group. Patients with fasting blood sugar controlled mostly under 130mg/d<I>l</I>, patients treated predominantly by oral hypoglycemic agents, patients who were obese at initial examination, patients whose weight was not controlled under ideal weight, patients with hypercholesterolemia, and patients with cardiomegaly, were noticed more frequently with statistical significance in the MI group than in the non-MI group. Patients with glomerulosclerosis and patients with diabetic retinopathy were noticed more frequently with statistical significance in the latent MI group than in the non-MI group. We then studied the "risk factor" of MI and latent MI using 55 autopsy cases only, which we considered as randomised primary diabetics. MI was found to have developed more frequently with statistical significance in patients treated with oral hypoglycemic agents than in patients treated with insulin. MI tended to have developed more frequently in the poor weight control group than in the good control group (p<0.1). The development of MI did not have any significant correlation with fasting blood sugar on initial examination, fasting blood sugar control, the level of serum cholesterol, or the presence or absence of glomerulosclerosis and diabetic retinopathy. Latent MI (scattered type necrosis) was found more frequently with statistical significance in patients with glomerulosclerosis or diabetic retinopathy than in patients without them.
- 一般社団法人 日本糖尿病学会の論文
一般社団法人 日本糖尿病学会 | 論文
- Hyperlipidemia and Analysis of the Use of Lipid-lowering Drugs in Non-insulin-dependent Diabetes Mellitus.
- Thyrotoxic Crisis in a Patient with Mitochondrial Diabetes Mellitus.
- Rapidly Progressive Nephropathy in a Young Patient with Mitochondrial Gene Mutation.
- An Autopsy Case of Ketoacidosis in Insulin Dependent Diabetes Mellitus Patient Complicated with Adult Respiratory Distress Syndrome, DIC and Leukopenia.
- Studies on Alcoholic Beverages in Relation to Body Weight for Mild Diabetics