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Endocrine Abstracts (2019) 63 P576 | DOI: 10.1530/endoabs.63.P576

1Hospital Universitario Reina Sofía, Córdoba, Spain; 2Hospital Santa Bárbara, Puertollano, Spain.


Aim: Describe the control of cardiovascular risk factors (CVRF) in patients with diabetes and myocardial infarction (MI) as well as their treatment and control.

Patients and methods: Observational retrospective study of a cohort of patients with diabetes admitted to the cardiology department because of a MI between November 2015 and November 2016. Statistical analysis performed with SPSS 24th version.

Results: 421 patients admitted because of a MI. 140 patients (33.4%) with diabetes (DM) prior to admission. 97.8% with type 2 DM. 8 patients (5.7%) diagnosed with DM during their stay. 65% of the diabetic patients received oral hypoglycemic agents (OHAs), 15.7% insulin and 15% OHAs + Insulin. 5 patients didn’t receive pharmacological treatment. HbA1c test was ordered in 57.7% of these patients and 40.5% of them had a good glycemic control, with a HbA1c below 7%. Lipid panel was ordered in 70.5% of patients and 64.8% of them had LDL levels below 100 mg/dL. Smoking status was assessed in 51.7% of the patients: 42.9% were smokers and 31.2% were quitters. One year after the event 25.5% of patients had dead. Lipid panel was being followed in 79.2% of patients and 50.9% met their LDL target (below 70 mg/dL). There had been a statistically significant LDL reduction in these patients. Smoking status was asked in 51.9% of the patients and 60.9% of smokers had quitted, being the proportion of quitters statistically significant. In 81.13% patients HbA1c was being assessed and 36.8% of patients met their HbA1c target (below 7%). HbA1c was lower but the reduction was not statistically significant.

Conclusions: 1. CVRF are assessed in most patients with diabetes admitted because of a MI being lipid panel the most ordered (70.5%) in comparison to HbA1c (57.7%) and smoking status (51.7%)

2. Most diabetic patients that suffer myocardial infarction do not meet their glycemic target (59.5%).

3. In our series there is a statistically significant reduction in LDL levels and in the proportion of smokers. HbA1c is also improved but the reduction is not statistically significant.

Volume 63

21st European Congress of Endocrinology

Lyon, France
18 May 2019 - 21 May 2019

European Society of Endocrinology 

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