Impact of diabetes on long-term prognosis in patients with unstable angina and non-Q-wave myocardial infarction : Results of the OASIS (Organization to Assess Strategies for Ischemic Syndromes) registry

Although unstable coronary artery disease is the most common reason for admission to a coronary care unit, the long-term prognosis of patients with this diagnosis is unknown. This is particularly true for patients with diabetes mellitus, who are known to have a high morbidity and mortality after an...

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Bibliographic Details
Published in:Circulation (New York, N.Y.) N.Y.), 2000-08, Vol.102 (9), p.1014-1019
Main Authors: MALMBERG, K, YUSUF, S, GERSTEIN, H. C, BROWN, J, FENG ZHAO, HUNT, D, PIEGAS, L, CALVIN, J, KELTAI, M, BUDAJ, A
Format: Article
Language:English
Subjects:
Age Factors
Aged
Angina, Unstable - complications
Angina, Unstable - mortality
Biological and medical sciences
Cardiology. Vascular system
Coronary heart disease
Diabetes Complications
Diabetes Mellitus - epidemiology
Diabetes Mellitus - mortality
Electrocardiography
Female
Heart
Hospitalization
Humans
International Cooperation
Male
Medical sciences
Middle Aged
Models, Statistical
Multicenter Studies as Topic
Myocardial Infarction - complications
Myocardial Infarction - mortality
Prevalence
Prognosis
Registries
Risk Factors
Sex Factors
Time Factors
Treatment Outcome
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Summary:Although unstable coronary artery disease is the most common reason for admission to a coronary care unit, the long-term prognosis of patients with this diagnosis is unknown. This is particularly true for patients with diabetes mellitus, who are known to have a high morbidity and mortality after an acute myocardial infarction. Prospectively collected data from 6 different countries in the Organization to Assess Strategies for Ischemic Syndromes (OASIS) registry were analyzed to determine the 2-year prognosis of diabetic and nondiabetic patients who were hospitalized with unstable angina or non-Q-wave myocardial infarction. Overall, 1718 of 8013 registry patients (21%) had diabetes. Diabetic patients had a higher rate of coronary bypass surgery than nondiabetic patients (23% versus 20%, P:
ISSN:0009-7322
1524-4539
DOI:10.1161/01.CIR.102.9.1014