P-073 The Relevance Of Recognizing Diabetes Mellitus As High-Risk Category For Ischaemic Heart Disease

Boskovic M. (Belgrade), Venecanin M. (Belgrade), Polovina Joksimovic L. (Belgrade)
Objective: Diabetes mellitus is recently established as an independent risk factor for ischaemic heart disease. The objective of our study was to identify, among diabetic patients, the high – risk category for ischaemic heart disease.
Methods: We studied 70 patients with diabetes mellitus. Half of the patients were treated at hospital for the coronary disease. They were compared with 35 diabetic out-patients without coronary disease. Standard protocol included: medical history, cardiological examination and laboratory tests (glucose level, HbA1c, lipid status).
Results: There was no significant difference in sex ratios between diabetic patients with and without coronary disease. Diabetics with coronary disease were significantly older. Patients with poor glycaemic control (HbA1c >7%) (45.8% vs. 22.6%) were at significantly greater risk. There was no significant correlation between duration of diabetes and risk of coronary disease. Diabetics with other factors had significantly higher risk of coronary disease, especially those who had two or more associated risk factors. (78.6% vs. 59.2%). Hypertension was more frequent in diabetics with coronary disease (86.8% vs. 68.9%), as well as dyslipidaemia (54.6% vs. 47.2%). Smoking hasn’t been shown to be significant risk factors for coronary disease.
Conclusions: Diabetic patients with high-risk for ischaemic heart disease are older (p
The relevance of recognizing diabetes mellitus as high-risk category for ischaemic heart disease