DOI: https://doi.org/10.22141/2224-0586.16.2.2020.203139

The risks and difficulties of diagnosing myocardial infarction in diabetic patients (review and own experience)

O.A. Halushko, M.V. Boliuk

Abstract


The article provides a concise analysis of recent studies (2010–2020) on the management of acute myocardial infarction in patients with concomitant diabetes mellitus (DM). The authors summarized new data on the epidemiology and features of the clinical picture of the acute coronary syndrome in DM, focusing on atypical forms of pain syndrome. The results of our own research are also given. A retrospective analysis of medical records of 41 patients (33 men and 8 women) hospitalized for myocardial infarction was performed. Of these, 6 patients (14.63 %) had concomitant DM type 2. Typical moderate pain syndrome was observed in 5 patients (83.33 %), and 1 patient (16.67 %) complained only of general malaise and insignificant chest discomfort. Dizziness and sweating were observed in 2 patients (33.33 %) with DM. All patients with DM complained of a pronounced general weakness. In diabetic patients, there were also isolated cases of sudden onset of unexplained symptoms in the chest (n = 2), limbs (n = 1), dizziness (n = 3), short-term loss of consciousness (n = 2), followed by pain (n = 3), discomfort (n = 1), chest tightness (n = 1), in chest (n = 1) or heart area (n = 2). However, these cases were sporadic, and each patient presented with combined various symptoms specific for the acute coronary syndrome.

Keywords


coronary heart disease; acute coronary syndrome; myocardial infarction; diabetes mellitus; pain; diagnosis; painless form; review

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