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  • Obravnava bolnikov s sladkorno boleznijo z akutnim miokardnim infarktom v Splošni bolnišnici Celje v letu 1999 = Management of diabetes in acute myocardial infarction in Celje general hospital in 1999
    Veninšek, Gregor
    Background. DIGAMI study showed that intrahospital mortality and mortality at one year after myocardial infarction can be significantly reduced in diabeticstreated in acute phase of myocardial ... infarction by GI infusion and afterwards for at least three months with intensive insulin treatment. Mortality can be reduced for more than 50% in a subgroup of patients younger than 70 years, without congestive heart failure, with first myocardial infarction, not treated with insulin or digitalis. In this perspective we reviewed treatment of diabetics with acute myocardial infarction in 1999 in Celje General Hospital. Methods. We reviewed documentation of treatment of alldiabetics with acute myocardial infarction treated in Celje General Hospital in 1999. We collected data on number of newly discovered diabetes, onprevious treatment of diabetes, on treatment of diabetes during hospitalisation and at discharge, on drugs used for treatment of diabetes and on mortality during hospitalisation. Results. Diabetics presented 20% of all patients with acute myocardial infarction treated in Celje General Hospital in1999. Non of patients received GI infusion, non had intensively managed blood sugar. 24% of patients were treated with sulfonylureas in acute phase ofmyocardial infarction. 33% of patients were discharged from hospital with insulin therapy. Intrahospital mortality was 9%, comparable with patients without diabetes. Conclusions. In 1999 was intrahospital treatment of diabetics with acute myocardial infarction in Celje General Hospital successful as their intrahospital mortality equaled non-diabetics. Treatment of diabetes itself, during hospitalisation and after discharge, on the other hand, in 1999 had not been up to date according to results of recent studies. In our opinion, it is mandatory for diabetologist to make part of the team that treats diabetic with acute myocardial infarction.
    Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 70, suppl. 1, december 2001, str. I-3-I-5)
    Vrsta gradiva - članek, sestavni del
    Leto - 2001
    Jezik - slovenski
    COBISS.SI-ID - 14373081

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    Digitalna knjižnica Slovenije - dLib.si

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