What was the probable relationship of the previously undiagnosed diabetes to the MI?

Patients with previously known diabetes were more likely to have a non-Q-wave MI and had lower creatine kinase levels than both patients with newly diagnosed diabetes and patients without diabetes. The initial therapy for MI was similar between patients with newly diagnosed diabetes and those without diabetes.

How does diabetes lead to myocardial infarction?

Factors unique to diabetes increase atherosclerotic plaque formation and thrombosis, thereby contributing to myocardial infarction. Autonomic neuropathy may predispose to infarction and result in atypical presenting symptoms in the diabetic patient, making diagnosis difficult and delaying treatment.

How does MI affect diabetes?

CONCLUSIONS—Diabetes is associated with markedly increased mortality after acute myocardial infarction, particularly in women. The increase in risk is of the same magnitude as a previous myocardial infarction and provides further support for aggressive treatment of coronary risk factors among diabetic patients.

Is diabetes a risk factor for MI?

Myocardial infarction (MI) and stroke are more common among people with diabetes than those without (1–3). Diabetes is also a risk factor for MI case fatality: that is, MI is more often fatal in people with diabetes compared with MI in those without diabetes (4–7).

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Why there is silent MI in diabetes?

When it comes to silent heart attacks, diabetics are particularly susceptible for a couple of reasons: Higher Risk of Heart Disease – Diabetic patients are at an increased risk of silent heart attack in large part because the condition has already put their heart in a more precarious position overall.

What is the relationship between diabetes and cardiovascular disease?

High blood glucose from diabetes can damage your blood vessels and the nerves that control your heart and blood vessels. Over time, this damage can lead to heart disease. People with diabetes tend to develop heart disease at a younger age than people without diabetes.

What is the relationship between type 2 diabetes and cardiovascular disease?

Patients with T2DM had 10% greater risk of CAD, 53% of MI, 58% of stroke, and 112% increased risk of heart failure. Therefore, T2DM is a substantial risk factor for CVD and its consequences.

Is diabetes a metabolic disorders?

Diabetes mellitus is a group of metabolic disorders of carbohydrate metabolism characterized by high blood glucose levels (hyperglycemia) and usually resulting from insufficient production of the hormone insulin (type 1 diabetes) or an ineffective response of cells to insulin (type 2 diabetes).

Why troponin T and I are detected in the blood post MI patient?

A troponin test measures the levels of troponin T or troponin I proteins in the blood. These proteins are released when the heart muscle has been damaged, such as occurs with a heart attack. The more damage there is to the heart, the greater the amount of troponin T and I there will be in the blood.

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What is cardiovascular diabetes?

When you have diabetes, you’re more at risk of heart disease. This is also called cardiovascular disease (CVD) or coronary disease, and can lead to heart attacks and strokes. Cardiovascular disease affects your circulation too.

Why does diabetes affect the heart?

Over time, high blood sugar can damage blood vessels and the nerves that control your heart. People with diabetes are also more likely to have other conditions that raise the risk for heart disease: High blood pressure increases the force of blood through your arteries and can damage artery walls.

Can diabetes cause myocardial ischemia?

The autonomic dysfunction commonly found in diabetic patients is associated with a high risk of cardiac arrhythmias and sudden death, as well as other serious CV sequelae including silent myocardial ischemia, diabetic cardiomyopathy, stroke, and both intraoperative and perioperative CV instability.

What is a silent myocardial infarction?

Silent myocardial infarction (SMI) relates to absence of symptoms usually associated with myocardial ischemia. Its risk factors include heavy smoking, family history of heart disease, age, high blood cholesterol and systemic blood pressure, diabetes, and overweight [3, 4].