High mortality in obese women diabetics with acute myocardial infarction.Br Med J 1977; 1 doi: http://dx.doi.org/10.1136/bmj.1.6077.1624 (Published 25 June 1977) Cite this as: Br Med J 1977;1:1624
- M J Tansey,
- L H Opie,
- B M Kennelly
The factors associated with mortality in 89 diabetics and 793 non-diabetics with acute myocardial infarction who were initially admitted to a coronary care unit were analysed retrospectively. During their stay in hospital diabetics had twice the mortality of non-diabetics. The higher mortality among diabetics was largely accounted for by obese women, who had a hospital mortality of 43%. There was an increased incidence of congestive heart failure in such patients. A therapeutic trial should be performed in such patients to assess whether insulin has an effect on infarct size.