Twice as many people die from Acute Myocardial Infarction (AMI) when combined with Diabetes Mellitus as those without Diabetes. The numbers are even worse when comparing insulin dependent diabetics versus non- insulin dependent diabetics.
The mortality rate among first AMI survivors is no better during a subsequent MI, and are even a little worse.
Women with Diabetes Mellitus are at highest risk for death from Acute Myocardial Infarction, (AMI) and indications are that women die from AMI with or without Prior AMI at 3 1/2 times the rate of men, when coupled with Congestive Heart Failure (CHF). Women are said to be at increased risk for CHF and Cardiogenic Shock.
Diabetes Mellitus is diagnosed in less than 6% of the U.S. population, but is observed in 30% of patients presenting with acute coronary outcomes.
Recent advancements in overall cardiac treatment options has lowered prospective mortality rates of all patients experiencing AMI, but the disparity between diabetic and non-diabetic patients remains.
Myocardial Infarction or MI, happens when a section of the heart muscle has diminished blood flow, robbing the muscle of needed oxygen and nutrients. Acute means sudden onset, versus Chronic, which means long term.
Coronary Artery Disease (CAD) is generally the culprit, and coronary atherosclerosis, the result of cholesterol and plaque build-up in the Coronary Arteries, is one of the Hallmarks of Diabetes Mellitus, and may be a harbinger of onset of Acute MI.
When a Coronary Artery develops an occlusion or blockage, blood flow to the part of the heart where that artery delivers its blood is restricted, and the amount of blood ejected to the body is also restricted, because the heart muscle can’t pump hard enough, causing a Myocardial Infarction or MI. The amount of oxygen and nutrients delivered to the body is also restricted, so the brain tells the heart to pump harder and faster, in an effort to deliver more of the nutrients and oxygen, and the breakdown of the heart muscle is then realized.
Unless emergency care is provided quickly, within minutes, necrosis to the heart muscle is a distinct possibility and death may occur.
Risk factors for Coronary Artery Disease include:
• High Serum Cholesterol levels
• Hypertension (high blood pressure)
• Diabetes Mellitus
• Alcohol abuse
• Poor Diet
• Physical Inactivity
To reduce your risk of Myocardial Infarction, ask your Doctor what preventative measures you can take, such as eating healthy, quit smoking, lose weight, limit your salt intake, exercise and get active.
The life you save may be your own.
Article by Jim Donahue