PMID- 18431882 OWN - NLM STAT- MEDLINE DCOM- 20080521 LR - 20101118 IS - 0125-2208 (Print) IS - 0125-2208 (Linking) VI - 90 Suppl 1 DP - 2007 Oct TI - Implications of diabetes mellitus in patients with STEMI: data from Thai ACS Registry. PG - 12-20 AB - BACKGROUND: Data exist on the community-based perspective on the relation of diabetes mellitus (DM) and acute ST elevation myocardial infarction (STEMI) worldwide but no data is available in Thailand. MATERIAL AND METHOD: The Thai Acute Coronary Syndrome Registry (TACSR) is an observational study of patients hospitalized with ACS at 17 hospitals in different regions of Thailand. The present sub-study sample consisted of 3,725 patients with STEMI in a 3-year period. RESULTS: Nearly 40% (37.15%) of them had DM who were older predominantly women, with a greater prevalence of co-morbidities and fewer current smokers. Patients with DM who developed STEMI were at increased risk for heart failure, arrhythmia, bleeding and death. These differences remained after adjustment for potential confounding prognostic factors. CONCLUSION: A considerable proportion of patients with STEMI have DM. This proportion is higher than any other studies published. Diabetic patients who developed STEMI are also at increased risk for adverse outcomes including, heart failure, arrhythmia, bleeding and death compared to patients without DM. FAU - Boonsom, Watana AU - Boonsom W AD - Cardiac Center, Department of Medicine, BMA Medical College and Vajira Hospital, Bangkok 10300, Thailand. watana@vajira.ac.th FAU - Ratanasumawong, Kasem AU - Ratanasumawong K FAU - Hutayanon, Pisit AU - Hutayanon P FAU - Tungsabutra, Wiwun AU - Tungsabutra W LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Thailand TA - J Med Assoc Thai JT - Journal of the Medical Association of Thailand = Chotmaihet thangphaet JID - 7507216 RN - 0 (Fibrinolytic Agents) SB - IM MH - Acute Disease MH - Aged MH - Angioplasty, Balloon, Coronary MH - Case-Control Studies MH - Coronary Artery Bypass MH - *Diabetes Complications MH - Diabetes Mellitus/*physiopathology MH - Female MH - Fibrinolytic Agents MH - Humans MH - Male MH - Middle Aged MH - Myocardial Infarction/*epidemiology/etiology/surgery MH - Myocardial Reperfusion MH - Prevalence MH - Prognosis MH - Prospective Studies MH - Registries MH - Risk Factors MH - Thailand/epidemiology MH - *Treatment Outcome EDAT- 2008/04/25 09:00 MHDA- 2008/05/22 09:00 CRDT- 2008/04/25 09:00 PHST- 2008/04/25 09:00 [pubmed] PHST- 2008/05/22 09:00 [medline] PHST- 2008/04/25 09:00 [entrez] PST - ppublish SO - J Med Assoc Thai. 2007 Oct;90 Suppl 1:12-20.