Abstract

Background: According to American heart association, coronary artery diseases are the leading cause of mortality and morbidity among diabetic patients. Although is more often silent in patients with diabetes but it usually manifests later on as heart failure.
Aim: this study aimed to determine the prevalence of acute coronary syndrome and associated risk factors among diabetic patients admitted to AL-Washday teaching hospital, Dharma Governorate, Yemen.
Methods: All patients admitted to Al-Washday teaching hospital with acute coronary syndrome on top of diabetes mellitus in the last two years 2020-2021. All patients are subjected to clinical evaluation, baseline ECG, results of laboratory investigations and treatment strategies.
Result: In our study, the overall prevalence of coronary artery diseases among diabetic patients is 24.5% (53). Analysis of risk factors reveals most patients were hypertensive 66%, also many patients had other risk factors such as Khat chawing 47%, smoking 21%, and Shammah 7.5% which farther aggravates the risk. It also shows that the prevalence of STEMI 34%, NSTEMI 19%, and unstable angina 26%, other patients present with AF, LVH, and non-specific ST segment and T wave changes.
Conclusion: we could be concluded that the prevalence of coronary artery diseases among diabetic patients estimated to be 24.5%. Most patients with acute coronary syndrome were hypertensive 66% and increased rate if silent acute coronary syndrome. acute coronary syndrome in Yemeni individuals with DM was associated with increase in age and increase in duration of diabetes mellitus. Keeping chronic diseases under control and avoiding bad habits will affect positively to improve the outcome of DM. Females were affected more than males.

Keywords:Acute coronary syndrome; Diabetic patients

Abbreviations:DM: Diabetes mellitus; ACS: Acute Coronary Syndrome; ACS: Among DPs Acute Coronary Syndrome in Diabetic Patients; MI: Myocardial Infarction; STEMI: ST Segment Elevation Myocardial Infarction; NSTEMI: Non ST Segment Elevation Myocardial infarction; USA: UN Stable Angina; IHD: Ischemic Heart Disease; AHA: American Heart Association; ESC: European Society of Cardiology; HF: Heart Failure; LBBB: Left Bundle Branch Block; ECG: Electrocardiogram; CXR: Chest X Ray; CBC: Complete Blood Count; NYHA: New York Heart Association; LVF: Left Ventricular Failure; ICU: Intensive Care Unit; BP: Blood Pressure; JVP: Jugular Venous Pulse; MR: Mitral Regurgitation; PCI: Percutaneous Coronary Intervention; CABG: Coronary Artery Bypass Graft; UFH: Unfractionated Heparin; LMWHs: Low Molecular Weight Heparin; GRACE: Global Registry of Acute Coronary Events; RBS: Random Blood Sugar; FBS: Fasting Blood Sugar; HBA1C: Glycosylated Hemoglobin; RFT: Renal Function Test; LVH: Left Ventricular Hypertrophy; AF: Atrial Fibrillation