Myocardial infarction in patients with non-insulin-dependent diabetes mellitus and dependence of the quality of life on the individual psychological type
Rechkova, E.V.; Petrova, M.M.; Opaleva-Stegantseva, V.A.
Terapevticheskii Arkhiv 72(12): 16-18
2000
ISSN/ISBN: 0040-3660 PMID: 11201821 Document Number: 518794
To examine clinical features, complications, short- and long-term outcomes of myocardial infarction (MI) as well as quality of life (QL) in patients with non-insulin-dependent diabetes mellitus (NIDDM), to analyze relations between the above parameters and psychologic personal traits of the patients. The study entered 240 NIDDM patients with MI (the test group) and 260 control nondiabetic MI patients. The examination was made using standard techniques and AMPI. An anginal variant of initial MI in NIDDM patients was registered significantly less frequently than in the controls (76.7 vs 88.2%). The asthmatic variant occurred in 16.3 and 4.6% of the cases, respectively. In MI, NIDDM patients developed preinfarction and postinfarction angina pectoris less often than control patients (20 and 12.1% vs 71.9 and 25.7%, respectively). Mean psychological profile was high by AMPI scales 1, 2 and 6 in NIDDM patients, by scales 1, 3 and 8 in control patients. Pain syndrome in anginal initial MI in NIDDM patients is less pronounced and becomes weaker with growing duration of diabetes. Concomitant diabetes mellitus has an insignificant influence on deterioration of quality of life in the postinfarction period.