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Myocardial Infarction

Diabetes mellitus in acute coronary syndromes - worse for women than for men

Published in Women's Health Weekly, September 23rd, 2004

Diabetes is associated with worse prognosis in patients with myocardial infarction, but whether there is a difference between men and women in this respect is less well known.

In an analysis of 10253 patients (3329 women) with a discharge diagnosis of acute coronary syndrome (myocardial infarction or unstable angina) in the Euro Heart Survey ACS, 28% of the women had DM, compared to 20% of the men, according to A. Rosengren and colleagues at Sahlgrenska University Hospital/Ostra, Gothenberg, Sweden.

Compared to men without diabetes, men with diabetes tended to have less severe disease, that is less ST-elevation AMI (the form of myocardial infarction...

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