Diabetes in patients with incident acute myocardial infarction: characteristics, frequency, treatment and complications in a population-based sample

IF 1 Q4 ENDOCRINOLOGY & METABOLISM

Diabetes epidemiology and management Pub Date : 2025-06-04 DOI:10.1016/j.deman.2025.100270

Timo Schmitz , Simone Fischer , Philip Raake , Jakob Linseisen , Christine Meisinger

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Abstract

Objective

To investigate predictors of a diabetes diagnosis after an acute myocardial infarction (AMI) and to examine characteristics, preventive measures, treatment and complications of diabetic AMI patients.

Methods

AMI patients registered by the Myocardial Infarction Registry Augsburg between 2017 and 2019 (n = 1.712) received a postal questionnaire in 2023 with questions on diabetes status, diabetes care and diabetes related complications (response: 50.1 %). Logistic regression models were calculated to identify predictors related to a subsequent diabetes diagnosis after first-time AMI. For diabetic patients, important characteristics of diabetes care and the frequency of complications were examined. Additionally, it was examined which diabetic AMI patients were aware of the interconnection between diabetes and AMI.

Results

A total of 200 patients (27.4 %) that responded to the survey had diabetes, 40 of them received the diagnosis after first-time hospitalized AMI. Body mass index (BMI) [OR: 1.13 [1.05–1.21], p value: 0.001] and blood glucose levels [OR: 1.01 [1.00–1.02], p value: 0.007] at hospital admission were independent predictors of a diagnosis of diabetes during follow-up. Three quarters of diabetic AMI patients knew their current HbA1c value (median 6.9 %; IQR: 6.2–7.4 %). Only 40 (23 %) patients with diabetes were aware of the interconnection between diabetes and AMI.

Conclusion

BMI and admission blood glucose were predictors of diabetes after AMI. Based on HbA1c values, overall glycemic control needs improvements in many patients. Less than a quarter of diabetic AMI patients were aware of the relationship between diabetes and AMI which emphasizes the need for specific education of these patients.

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突发急性心肌梗死患者的糖尿病：以人群为基础的样本的特征、频率、治疗和并发症

目的探讨急性心肌梗死（AMI）后糖尿病诊断的预测因素，探讨糖尿病性AMI患者的特点、预防措施、治疗及并发症。方法2017年至2019年在奥格斯堡心肌梗死登记处登记的sami患者（n = 1.712）于2023年收到一份邮寄问卷，问卷内容包括糖尿病状况、糖尿病护理和糖尿病相关并发症（应答率：50.1%）。计算逻辑回归模型以确定与首次AMI后后续糖尿病诊断相关的预测因素。对于糖尿病患者，检查糖尿病护理的重要特征和并发症的发生频率。此外，还检查了哪些糖尿病性AMI患者意识到糖尿病与AMI之间的联系。结果200例（27.4%）患者为糖尿病患者，其中40例为首次住院AMI患者。入院时体重指数（BMI） [OR: 1.13 [1.05-1.21]， p值：0.001]和血糖水平[OR: 1.01 [1.00-1.02]， p值：0.007]是随访期间糖尿病诊断的独立预测因子。四分之三的糖尿病AMI患者知道自己当前的HbA1c值(中位6.9%；（比例：6.2 - 7.4%）。只有40例（23%）糖尿病患者意识到糖尿病与AMI之间的联系。结论bmi和入院血糖是AMI后糖尿病的预测指标。根据HbA1c值，许多患者的总体血糖控制需要改善。不到四分之一的糖尿病性AMI患者了解糖尿病与AMI之间的关系，这强调了对这些患者进行特殊教育的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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