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Mortality and morbi...
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Herlitz, Johan[external]
(författare)
Mortality and morbidity during a five-year follow-up of diabetics with myocardial infarction
- Artikel/kapitelEngelska1988
Förlag, utgivningsår, omfång ...
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2009-04-24
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Wiley-Blackwell Publishing Ltd.1988
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LIBRIS-ID:oai:DiVA.org:hb-7651
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https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-7651URI
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https://doi.org/10.1111/j.0954-6820.1988.tb16735.xDOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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In 787 patients with acute myocardial infarction originally participating in the Göteborg Metoprolol Trial, mortality and morbidity during 5 years' follow-up were assessed and related to whether patients had diabetes mellitus. Diabetes occurred in 78 patients (10%). Patients with diabetes had a different risk factor pattern, including higher age, higher occurrence of angina pectoris and hypertension, whereas smoking habits did not differ. In the early phase (hospitalization), patients with diabetes had a higher mortality (12% versus 8%), required more treatment for heart failure and stayed longer in hospital. Other morbidity aspects, such as severity of pain, occurrence of severe supraventricular and ventricular arrhythmias, high-degree AV-block and infarct size did not differ. During 5 years' follow-up mortality rate in patients with diabetes mellitus was 55% as compared with 30% among patients with no diabetes (P<0.001). Reinfarction rate during 5 years was 42% in daibetics versus 25% in non-diabetics (P<0.001). In a multivariate analysis, taking into account the differences in risk factor pattern, diabetes turned out to be an independent determinant for long-term mortality and reinfarction (P<0.001). We conclude that patients with diabetes mellitus, developing acute myocardial infarction, is a group with particularly high risk of death and reinfarction. Interventions aiming at its reduction have priority.
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Malmberg, K
(författare)
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Karlsson, BW
(författare)
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Ståhl, L
(författare)
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Rydén, L
(författare)
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Hjalmarson, Å
(författare)
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[external]
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Journal of Internal Medicine: Wiley-Blackwell Publishing Ltd.224:1, s. 31-380954-68201365-2796
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Ingår i:Acta Medica Scandinavica: Wiley-Blackwell Publishing Ltd.224:1, s. 31-380001-6101
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