Comparing Clinical Profile and Outcomes of Acute Coronary Syndrome in Diabetic and Non-Diabetic Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Acute Coronary Syndrome
- Sponsor
- Tarumanagara University
- Enrollment
- 86
- Locations
- 1
- Primary Endpoint
- Cardiogenic Shock
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
This study aims to compare the clinical profile and outcomes of acute coronary syndrome patients with diabetes and without diabetes.
Detailed Description
Adult patients (≥ 18 years of age) with acute coronary syndrome which are diagnosed under International Classification of Disease (ICD-10) coding of I24.9 were included in this study. The inclusion criteria are patients with primary diagnosis of I24.9 and with a complete record of prior medical and treatment history, electrocardiographic findings, cardiac marker results and outcomes. Participants were grouped into 2 groups - diabetic and non-diabetic based on history of diabetes prior to ACS. Diagnosis of ACS was made based on clinical, electrocardiographic and cardiac marker findings found in the medical record. Data such as age, sex, ethnic, education, prior medical and treatment history, electrocardiographic and cardiac enzyme results as well as outcomes were collected from the patients' medical records. Outcomes of interest were defined as either concomitant heart failure, acute lung edema, malignant arrhythmia, mortality or combinations of them as diagnosed in the medical records. Heart failure is defined based on echocardiographic findings from the medical records. Acute Lung Edema is defined based on medical records or reported clinical findings of lung edema - rhonchi reported in 1/3 of the lungs with oxygen saturation \<90%. Whereas malignant arrhythmia is defined as the presence of ventricular tachycardia (VT) or ventricular fibrillation (VF).
Investigators
Anthony Paulo Sunjaya
Principal Investigator
Tarumanagara University
Eligibility Criteria
Inclusion Criteria
- •Clinical diagnosis of Acute Coronary Syndrome
- •Presence of detail on diabetes history
Exclusion Criteria
- •Unavailability of electrocardiographic findings, cardiac marker results
- •Incomplete records of prior medical and treatment history
Outcomes
Primary Outcomes
Cardiogenic Shock
Time Frame: Through study completion, an average of 1 year
Clinical Diagnosis of Cardiogenic Shock reported in medical records
Recurrent Myocardial Infarction
Time Frame: Through study completion, an average of 1 year
Clinical Diagnosis of Recurrent Myocardial Infarction reported in medical records
Mortality
Time Frame: Through study completion, an average of 1 year
Patient death reported in medical records
Heart Failure
Time Frame: Through study completion, an average of 1 year
Based on echocardiographic findings from the medical records
Malignant Arrhythmia
Time Frame: Through study completion, an average of 1 year
Presence of ventricular tachycardia (VT) or ventricular fibrillation (VF)
Acute Lung Edema
Time Frame: Through study completion, an average of 1 year
Based on medical records or reported clinical findings of lung edema - rhonchi reported in 1/3 of the lungs with oxygen saturation \<90%.