Abstract

THE PREVALENCE OF DIABETES MELLITUS IN PATIENTS WITH ACUTE CORONARY SYNDROME IN KING ABDULAZIZ UNIVERSITY HOSPITAL (KAUH), JEDDAH, SAUDI ARABIA

Husain H. Jabbad, Essam M. Elgaby, Ameen M. Almohammadi, Abdulrahman M. Alahdal, Mohamed A. Moursi, Alaa Bagalagel* and Mahmoud A. Abd-Elhameed

Abstract

Coronary atherosclerosis is accelerated and highly prevalent in patients with diabetes mellitus. Acute coronary syndrome (ACS) is common in diabetes mellitus and is a major cause of mortality and morbidity in these patients. The aim of this study is to assess prevalence of diabetes mellitus among patients with acute coronary syndrome in King Abdulaziz University hospital, Jeddah, Saudi Arabia. The study included 115 patients (21 females and 94 males) with acute coronary syndrome out of 133 patients admitted to CCU ward of KAUH from January to June 2014.ECG changes and levels of myocardial enzymes (troponin), HbA1C, serum triglycerides and cholesterol were recorded at admission. Out of all patients 70% were diabetics and 20% were prediabetics. Approximately 21% had unstable angina (UA) and 79% had myocardial infarction (MI). Out of 24 patients with unstable angina 4% were nondiabetics, 30% were prediabetics, and 66% were diabetics. Out of 91 patients with myocardial infarction 12% were nondiabetics, 18% were prediabetics, and 70% were diabetics. Serum cholesterol, triglycerides, and LDL levels did not differ between diabetic patients with or without acute coronary syndrome. Diabetes was more frequent among females than males (80.95% vs. 67.02%). In this prospective study about 70% of patients with acute coronary syndrome have diabetes, which may cause more serious complications of acute coronary syndrome.

Keywords: Atherosclerosis, Diabetes, Jeddah, Acute Coronary Syndrome.