The Importance of Functional Renal Impairments in Patients with Myocardial Infarction and Type 2 Diabetes Mellitus
Keywords:
myocardial infarction, type 2 diabetes mellitus, renal impairment, kidney dysfunction, acute kidney injury, nephropathy, diabetic nephropathyAbstract
The aim of the study was to investigate the role of renal dysfunction in the aggravation of the clinical picture of acute myocardial infarction (MI) in patients with type 2 diabetes mellitus (DM 2). A total of 107 patients with acute myocardial infarction were examined: 38.3% women and 61.7% men. 65.4% of patients had type 2 diabetes mellitus. It was found that with type 2 DM, MI often develops in women of relatively older age (over 60 years), with a diabetes duration of more than 5 years, with a subcompensated or decompensated course of the disease. In type 2 DM, renal dysfunction is a risk factor for the development and aggravation of MI. Signs of nephropathy proteinuria, cylindrical filtration and a decrease in glomerular filtration below 80 ml/min are the background for the development of myocardial infarction. A decrease in SCF in patients with MI and type 2 diabetes below 60 ml/min can contribute to fatal outcomes.
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