Implications of Diabetes Mellitus in Patients with STEMI: Data from Thai ACS Registry
Watana Boonsom MD*, Kasem Ratanasumawong MD**, Pisit Hutayanon MD***, Wiwun Tungsabutra MD****
Affiliation : * Department of Medicine, BMA Medical College and Vajira Hospital, Bangkok ** Department of Medicine, Police Hospital, Bangkok *** Department of Medicine, Faculty of Medicine, Thammasat University, Pathumthani **** Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok
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.
Materials and Methods : 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 preva-
lence 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 poten-
tial 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.
Keywords : Acute ST elevation myocardial infarction, Diabetes Mellitus, The Thai Acute Coronary Syndrome Registry
