Epidemiology and socio-economic features of myocardial infarction and stroke in patients with type 2 diabetes mellitus
Background. The purpose was to study epidemiology and socio-economic features of myocardial infarction (МI) and stroke in patients with the type 2 diabetes mellitus (DM). Materials and methods. Patients were divided into 3 groups: first group consisted of all patients with type 2 DM included in the research (n = 1,999), second group — of patients (n = 201) with DM from the first group with МI, third group were patients with DM from the first group with stroke (n = 155). Results. Significant differences were established between the incidence of DM and the incidence of МI and stroke depending on the sex of patients. The average age of DM patients with МI and stroke was higher as compared to the general population of DM patients. Majority of patients was presented by the socially vulnerable people, who do not have the financial opportunity to get medical care, in particular therapy adequate for their state, present complications and concomitant pathology. Conclusions. Repeated МI was registered in 3 % of patients with DM; more than three times often, the recurrent stroke (9.7 %) occurred, more often among women (12.2 vs 6.2 % in men). A proportion of patients with МI among those with stroke is 2 times greater than the same index among all patients with DM (20.7 and 10.1 %, respectively).
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