Author/Editor		Veninšek, Gregor
Title		Obravnava bolnikov s sladkorno boleznijo z akutnim miokardnim infarktom v Splošni bolnišnici Celje v letu 1999
Translated title		Management of diabetes in acute myocardial infarction in Celje general hospital in 1999
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 70, št. Suppl 1
Publication year		2001
Volume		str. I-3-5
Language		slo
Abstract		Background. DIGAMI study showed that intrahospital mortality and mortality at one year after myocardial infarction can be significantly reduced in diabetics treated in acute phase of myocardial infarction by GI infusion and afterwards for at least three months with intensive insulin treatment. Mortality can be reduced for more than 50% in a subgroup of patients younger than 70 years, without congestive heart failure, with first myocardial infarction, not treated with insulin or digitalis. In this perspective we reviewed treatment of diabetics with acute myocardial infarction in 1999 in Celje General Hospital. Methods. We reviewed documentation of treatment of all diabetics with acute myocardial infarction treated in Celje General Hospital in 1999. We collected data on number of newly discovered diabetes, on previous treatment of diabetes, on treatment of diabetes during hospitalisation and at discharge, on drugs used for treatment of diabetes and on mortality during hospitalisation. Results. Diabetics presented 20% of all patients with acute myocardial infarction treated in Celje General Hospital in 1999. Non of patients received GI infusion, non had intensively managed blood sugar. 24% of patients were treated with sulfonylureas in acute phase of myocardial infarction. 33% of patients were discharged from hospital with insulin therapy. Intrahospital mortality was 9%, comparable with patients without diabetes. Conclusions. In 1999 was intrahospital treatment of diabetics with acute myocardial infarction in Celje General Hospital successful as their intrahospital mortality equaled non-diabetics. Treatment of diabetes itself, during hospitalisation and after discharge, on the other hand, in 1999 had not been up to date according to results of recent studies. In our opinion, it is mandatory for diabetologist to make part of the team that treats diabetic with acute myocardial infarction.
Summary		Izhodišča. Raziskava DIGAMI je pokazala, da zdravljenje z raztopino glukoze-inzulina v akutni fazi miokardnega infarkta in intenziviranim inzulinskim zdravljenjem vsaj prve tri mesece po akutnem miokardnem infarktu pomembno zmanjša smrtnost sladkornih bolnikov. Smrtnost je manjša tako intrahospitalno kot po enem letu, pri določeni skupini (mlajši od 70 let, brez srčnega popuščanja, prvi miokardni infarkt, nezdravljeni z digitalisom ali inzulinom) tudi za več kot polovico. Hoteli smo ugotoviti, ali je bilo v letu 1999 zdravljenje sladkornih bolnikov z akutnim miokardnim infarktom v Splošni bolnišnici Celje skladno s priporočili, ki izhajajo iz DIGAMI študije. Metode. Pregledali smo popise bolnišničnega zdravljenja vseh bolnikov s sladkorno boleznijo, ki so bili v letu 1999 zdravljeni v Splošni bolnišnici Celje zaradi akutnega miokardnega infarkta. Zbirali smo podatke o deležu novo odkritih sladkornih bolnikov, o vrsti poprejšnjega zdravljenja sladkorne bolezni, o vrsti zdravljenja sladkorne bolezni v času hospitalizacije in ob odpustu iz bolnišnice, o zdravilih, ki so bila uporabljena za zdravljenje sladkorne bolezni, in o smrtnosti v času zdravljenja. Rezultati. Delež bolnikov s sladkorno boleznijo je predstavljal 20% vseh bolnikov z akutnim miokardnim infarktom, zdravljenih v Splošni bolnišnici Celje v letu 1999. Nihče od bolnikov ni prejel infuzije glukoze-inzulina, noben bolnik ni imel intenzivno uravnavanega krvnega sladkorja v akutni fazi miokardnega infarkta. 24% bolnikov je bilo v akutni fazi zdravljenih s preparati sulfonilsečnine. Ob odpustu je prejemalo inzulin 33% bolnikov. Smrtnost v opazovani skupini je bila 9%, primerljiva z bolniki brez sladkorne bolezni. Zaključki. Intrahospitalna obravnava sladkornih bolnikov z akutnim miokardnim infarktom je bila v letu 1999 v SB Celje uspešna, saj je bila njihova umrljivost primerljiva z umrljivostjo bolnikov brez sladkorne bolezni. (Izvleček prekinjen pri 2000 znakih).
Descriptors		DIABETES MELLITUS MYOCARDIAL INFARCTION ACUTE DISEASE PREVALENCE AGE FACTORS SEX FACTORS