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| Effect of Percutaneous Coronary Intervention on Acute Myocardial Infarction with Type 2 Diabetes Mellitus and Adverse Cardiovascular Events |
| JIANG Wei-li, XU Tie |
| Graduate School of Xuzhou Medical University, Xuzhou City, Jiangsu Province, 221000 |
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Abstract 【Objective】To investigate the efficacy of direct percutaneous coronary intervention (PCI) in the treatment of acute myocardial infarction (AMI) with type 2 diabetes mellitus. 【Methods】 One hundred and forty-two patients with AMI in our hospital were selected, including 41 patients with type 2 diabetes mellitus (observation group) and 101 patients without type 2 diabetes mellitus (control group), the near and long term major adverse cardiovascular events (MACE) were compared between the two groups. 【Results】There was no significant difference between the two groups in infarct location, culprit vessel, operation time and TIMI blood flow grade 2-3 (P>0.05). The proportion of multiple vessel lesions and the number of stents implanted in the observation group were significantly higher than those in the control group (P<0.05). The incidence of heart failure in the observation group was significantly higher than that in the control group (P<0.05) in one month after treatment (P<0.05). The incidence of failure and stent restenosis was significantly higher than that of control group (P<0.05). 【Conclusion】The pathological changes of AMI patients with type 2 diabetes mellitus are more serious than those without diabetes mellitus, and the incidence of MACE in the near and long term is higher.
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Received: 01 February 2019
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2019, Vol. 36 
