Diabetes Mellitus and Non-ST Elevation Myocardial Infarction in Thai ACS Registry
Kasem Ratanasumawong MD*, Smonporn Boonyaratavej MD**, Suphot Srimahachota MD**, Watana Boonsom MD***, Wiwun Tungsubutra MD****, Sopon Sanguanwong MD*****
Affiliation : * Division of cardiology, Department of Medicine, Police General Hospital, Bangkok ** Division of Cardiology, Department of Medicine, King Chulalongkorn Memorial Hospital, Bangkok *** Division of Cardiology, Department of Medicine, BMA Medical College and Vajira Hospital, Bangkok **** Division of Cardiology, Department of Medicine, Siriraj Hospital, Mahidol University, Bangkok ***** Division of Cardiology, Department of Medicine, Pramongkutklao Hospital, Bangkok
Objective : To describe differences in in-hospital morbidity and mortality, presenting characteristics and
management practices of diabetic and non-diabetic patients with non-ST elevation myocardial infarction
using data from Thai ACS registry.
Materials and Methods : Thai ACS registry is a multi-center, prospective project of nationwide registration in
Thailand.
Results : The present study consisted of 3,548 patients with non-ST elevation myocardial infarction from 17
hospitals in about a 3-year period. About 50% of the patients with diabetes were more often female, with a
greater prevalence of hypertension and dyslipidemia. The diabetic group was at an increased risk for conges-
tive heart failure (adjusted odds ratio 1.84) but not increased risk for cardiac arrhythmia, cardiac mortality,
and in-hospital mortality.
Conclusion : There was a very high prevalence of diabetes in non-ST elevation myocardial infarction from
Thai ACS registry. These patients were at increased risk for congestive heart failure as index of hospitalization
but were not at increased risk for in-hospital mortality when compared with patients without diabetes.
Keywords : Non-ST elevation myocardial infarction, Diabetes, The Thai acute coronary syndrome registry
