Differences in clinical characteristics between patients with and without type 2 diabetes hospitalized with a first myocardial infarction
Abstract Aims To explore differences in clinical characteristics of patients with and without type 2 diabetes (T2DM) hospitalized with a first myocardial infarction (MI). Methods In this cross-sectional study we examined differences between patients with and without T2DM hospitalized with a first MI...
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| Veröffentlicht in: | Journal of diabetes and its complications 2016-07, Vol.30 (5), p.830-833 |
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| creator | Kasteleyn, Marise J Vos, Rimke C Jansen, Hanneke Rutten, Guy E.H.M |
| description | Abstract Aims To explore differences in clinical characteristics of patients with and without type 2 diabetes (T2DM) hospitalized with a first myocardial infarction (MI). Methods In this cross-sectional study we examined differences between patients with and without T2DM hospitalized with a first MI (n = 563). Multiple linear regression modeling was used to examine the association between T2DM and age of occurrence of MI. We adjusted for gender, systolic blood pressure (BP), lipids and creatinine level to examine whether these variables explained the association between T2DM and age of occurrence of MI. Results Among 563 patients with a first MI, T2DM patients ( n = 77) were older than non-diabetic patients (67.8 ± 10.9 vs. 64.4 ± 13.4 years, p < 0.05), had lower LDL (2.5 ± 0.8 vs. 3.4 ± 1.1 mmol/l, p < 0.001) and total cholesterol levels (4.4 ± 0.9 vs. 5.4 ± 1.2 mmol/l, p < 0.001), but higher systolic BP (150.3 ± 29.9 vs. 141.7 ± 27.5 mmHg, p < 0.05). The association between T2DM and age of occurrence of MI was largely explained by cholesterol levels. Conclusions T2DM patients were older when hospitalized with a first MI. This difference was largely explained by differences in cholesterol levels. The lower cholesterol levels in T2DM patients compared to non-diabetic patients, and maybe also the older age of occurrence of MI, might reflect the results successful primary prevention and systematic monitoring in T2DM. |
| doi_str_mv | 10.1016/j.jdiacomp.2016.03.024 |
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Methods In this cross-sectional study we examined differences between patients with and without T2DM hospitalized with a first MI (n = 563). Multiple linear regression modeling was used to examine the association between T2DM and age of occurrence of MI. We adjusted for gender, systolic blood pressure (BP), lipids and creatinine level to examine whether these variables explained the association between T2DM and age of occurrence of MI. Results Among 563 patients with a first MI, T2DM patients ( n = 77) were older than non-diabetic patients (67.8 ± 10.9 vs. 64.4 ± 13.4 years, p < 0.05), had lower LDL (2.5 ± 0.8 vs. 3.4 ± 1.1 mmol/l, p < 0.001) and total cholesterol levels (4.4 ± 0.9 vs. 5.4 ± 1.2 mmol/l, p < 0.001), but higher systolic BP (150.3 ± 29.9 vs. 141.7 ± 27.5 mmHg, p < 0.05). The association between T2DM and age of occurrence of MI was largely explained by cholesterol levels. Conclusions T2DM patients were older when hospitalized with a first MI. This difference was largely explained by differences in cholesterol levels. The lower cholesterol levels in T2DM patients compared to non-diabetic patients, and maybe also the older age of occurrence of MI, might reflect the results successful primary prevention and systematic monitoring in T2DM.</description><identifier>ISSN: 1056-8727</identifier><identifier>EISSN: 1873-460X</identifier><identifier>DOI: 10.1016/j.jdiacomp.2016.03.024</identifier><identifier>PMID: 27134032</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Academic Medical Centers ; Age ; Age of Onset ; Aged ; Cholesterol ; Cholesterol - blood ; Cholesterol, LDL - blood ; Clinical characteristics ; Combined Modality Therapy ; Cross-Sectional Studies ; Diabetes ; Diabetes Mellitus, Type 2 - blood ; Diabetes Mellitus, Type 2 - complications ; Diabetes Mellitus, Type 2 - physiopathology ; Diabetes Mellitus, Type 2 - therapy ; Diabetic Angiopathies - epidemiology ; Diabetic Angiopathies - physiopathology ; Diabetic Angiopathies - therapy ; Diabetic Cardiomyopathies - epidemiology ; Diabetic Cardiomyopathies - physiopathology ; Diabetic Cardiomyopathies - therapy ; Endocrinology & Metabolism ; Female ; Gender ; Health risk assessment ; Health sciences ; Heart attacks ; Hospitalization ; Humans ; Hypercholesterolemia - complications ; Hypercholesterolemia - prevention & control ; Hypertension ; Laboratories ; Low density lipoprotein ; Male ; Middle Aged ; Mortality ; Myocardial infarction ; Myocardial Infarction - complications ; Myocardial Infarction - epidemiology ; Myocardial Infarction - physiopathology ; Myocardial Infarction - therapy ; Netherlands - epidemiology ; Patient Compliance ; Prevention ; Primary care ; Regression analysis ; Risk Factors ; Severity of Illness Index ; Studies ; Triglycerides ; Type 2 diabetes ; Variables</subject><ispartof>Journal of diabetes and its complications, 2016-07, Vol.30 (5), p.830-833</ispartof><rights>Elsevier Inc.</rights><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Jul 01, 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-86cc3b13d3f06a0f78c04a0a9c6b89ee3cc3dfac7bdcfba48a12fda1c4523853</citedby><cites>FETCH-LOGICAL-c484t-86cc3b13d3f06a0f78c04a0a9c6b89ee3cc3dfac7bdcfba48a12fda1c4523853</cites><orcidid>0000-0001-5773-2614 ; 0000-0001-7751-7516</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1799596030?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,782,786,3554,27933,27934,46004,64394,64396,64398,72478</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27134032$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kasteleyn, Marise J</creatorcontrib><creatorcontrib>Vos, Rimke C</creatorcontrib><creatorcontrib>Jansen, Hanneke</creatorcontrib><creatorcontrib>Rutten, Guy E.H.M</creatorcontrib><title>Differences in clinical characteristics between patients with and without type 2 diabetes hospitalized with a first myocardial infarction</title><title>Journal of diabetes and its complications</title><addtitle>J Diabetes Complications</addtitle><description>Abstract Aims To explore differences in clinical characteristics of patients with and without type 2 diabetes (T2DM) hospitalized with a first myocardial infarction (MI). Methods In this cross-sectional study we examined differences between patients with and without T2DM hospitalized with a first MI (n = 563). Multiple linear regression modeling was used to examine the association between T2DM and age of occurrence of MI. We adjusted for gender, systolic blood pressure (BP), lipids and creatinine level to examine whether these variables explained the association between T2DM and age of occurrence of MI. Results Among 563 patients with a first MI, T2DM patients ( n = 77) were older than non-diabetic patients (67.8 ± 10.9 vs. 64.4 ± 13.4 years, p < 0.05), had lower LDL (2.5 ± 0.8 vs. 3.4 ± 1.1 mmol/l, p < 0.001) and total cholesterol levels (4.4 ± 0.9 vs. 5.4 ± 1.2 mmol/l, p < 0.001), but higher systolic BP (150.3 ± 29.9 vs. 141.7 ± 27.5 mmHg, p < 0.05). The association between T2DM and age of occurrence of MI was largely explained by cholesterol levels. Conclusions T2DM patients were older when hospitalized with a first MI. This difference was largely explained by differences in cholesterol levels. The lower cholesterol levels in T2DM patients compared to non-diabetic patients, and maybe also the older age of occurrence of MI, might reflect the results successful primary prevention and systematic monitoring in T2DM.</description><subject>Academic Medical Centers</subject><subject>Age</subject><subject>Age of Onset</subject><subject>Aged</subject><subject>Cholesterol</subject><subject>Cholesterol - blood</subject><subject>Cholesterol, LDL - blood</subject><subject>Clinical characteristics</subject><subject>Combined Modality Therapy</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 2 - blood</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Diabetes Mellitus, Type 2 - physiopathology</subject><subject>Diabetes Mellitus, Type 2 - therapy</subject><subject>Diabetic Angiopathies - epidemiology</subject><subject>Diabetic Angiopathies - physiopathology</subject><subject>Diabetic Angiopathies - therapy</subject><subject>Diabetic Cardiomyopathies - epidemiology</subject><subject>Diabetic Cardiomyopathies - physiopathology</subject><subject>Diabetic Cardiomyopathies - therapy</subject><subject>Endocrinology & Metabolism</subject><subject>Female</subject><subject>Gender</subject><subject>Health risk assessment</subject><subject>Health sciences</subject><subject>Heart attacks</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Hypercholesterolemia - complications</subject><subject>Hypercholesterolemia - prevention & control</subject><subject>Hypertension</subject><subject>Laboratories</subject><subject>Low density lipoprotein</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Myocardial infarction</subject><subject>Myocardial Infarction - complications</subject><subject>Myocardial Infarction - epidemiology</subject><subject>Myocardial Infarction - physiopathology</subject><subject>Myocardial Infarction - therapy</subject><subject>Netherlands - epidemiology</subject><subject>Patient Compliance</subject><subject>Prevention</subject><subject>Primary care</subject><subject>Regression analysis</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>Studies</subject><subject>Triglycerides</subject><subject>Type 2 diabetes</subject><subject>Variables</subject><issn>1056-8727</issn><issn>1873-460X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkstu1TAQhiMEoqXwCpUlNmwSfEkcZ4NA5SpVYkEX7CxnMtZxyA3baXV4A94ah3MOSN105bH8-R-P_z_LLhktGGXydV_0nTMwj0vB076goqC8fJSdM1WLvJT0--NU00rmqub1WfYshJ5SKquKPc3OeM1ESQU_z36_d9aixwkwEDcRGNzkwAwEdsYbiOhdiA4CaTHeIU5kMdHhFAO5c3FHzNT9LeY1krhfkHCSnpXYpLabw-KiGdwv7I40sc6HSMb9DMYncEgtrfEQ3Tw9z55YMwR8cVwvspuPH26uPufXXz99uXp3nUOpypgrCSBaJjphqTTU1gpoaahpQLaqQRTpuLMG6rYD25pSGcZtZxiUFReqEhfZq4Ps4uefK4aoRxcAh8FMOK9BM8VrpSRn7GG0bhSXpaAb-vIe2s-rn9IcG9VUjaSCJkoeKPBzCB6tXrwbjd9rRvVmq-71yVa92aqp0MnWdPHyKL-2I3b_rp18TMDbA4Dp524deh3AbaZ2ziNE3c3u4R5v7kmcsvAD9xj-z6MD11R_28K1ZYtJkXLFavEHJo7PCg</recordid><startdate>20160701</startdate><enddate>20160701</enddate><creator>Kasteleyn, Marise J</creator><creator>Vos, Rimke C</creator><creator>Jansen, Hanneke</creator><creator>Rutten, Guy E.H.M</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K6X</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>7T5</scope><scope>H94</scope><orcidid>https://orcid.org/0000-0001-5773-2614</orcidid><orcidid>https://orcid.org/0000-0001-7751-7516</orcidid></search><sort><creationdate>20160701</creationdate><title>Differences in clinical characteristics between patients with and without type 2 diabetes hospitalized with a first myocardial infarction</title><author>Kasteleyn, Marise J ; Vos, Rimke C ; Jansen, Hanneke ; Rutten, Guy E.H.M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-86cc3b13d3f06a0f78c04a0a9c6b89ee3cc3dfac7bdcfba48a12fda1c4523853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Academic Medical Centers</topic><topic>Age</topic><topic>Age of Onset</topic><topic>Aged</topic><topic>Cholesterol</topic><topic>Cholesterol - blood</topic><topic>Cholesterol, LDL - blood</topic><topic>Clinical characteristics</topic><topic>Combined Modality Therapy</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 2 - blood</topic><topic>Diabetes Mellitus, Type 2 - complications</topic><topic>Diabetes Mellitus, Type 2 - physiopathology</topic><topic>Diabetes Mellitus, Type 2 - therapy</topic><topic>Diabetic Angiopathies - epidemiology</topic><topic>Diabetic Angiopathies - physiopathology</topic><topic>Diabetic Angiopathies - therapy</topic><topic>Diabetic Cardiomyopathies - epidemiology</topic><topic>Diabetic Cardiomyopathies - physiopathology</topic><topic>Diabetic Cardiomyopathies - therapy</topic><topic>Endocrinology & Metabolism</topic><topic>Female</topic><topic>Gender</topic><topic>Health risk assessment</topic><topic>Health sciences</topic><topic>Heart attacks</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Hypercholesterolemia - complications</topic><topic>Hypercholesterolemia - prevention & control</topic><topic>Hypertension</topic><topic>Laboratories</topic><topic>Low density lipoprotein</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Myocardial infarction</topic><topic>Myocardial Infarction - complications</topic><topic>Myocardial Infarction - epidemiology</topic><topic>Myocardial Infarction - physiopathology</topic><topic>Myocardial Infarction - therapy</topic><topic>Netherlands - epidemiology</topic><topic>Patient Compliance</topic><topic>Prevention</topic><topic>Primary care</topic><topic>Regression analysis</topic><topic>Risk Factors</topic><topic>Severity of Illness Index</topic><topic>Studies</topic><topic>Triglycerides</topic><topic>Type 2 diabetes</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kasteleyn, Marise J</creatorcontrib><creatorcontrib>Vos, Rimke C</creatorcontrib><creatorcontrib>Jansen, Hanneke</creatorcontrib><creatorcontrib>Rutten, Guy E.H.M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>British Nursing Index</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>Journal of diabetes and its complications</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kasteleyn, Marise J</au><au>Vos, Rimke C</au><au>Jansen, Hanneke</au><au>Rutten, Guy E.H.M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differences in clinical characteristics between patients with and without type 2 diabetes hospitalized with a first myocardial infarction</atitle><jtitle>Journal of diabetes and its complications</jtitle><addtitle>J Diabetes Complications</addtitle><date>2016-07-01</date><risdate>2016</risdate><volume>30</volume><issue>5</issue><spage>830</spage><epage>833</epage><pages>830-833</pages><issn>1056-8727</issn><eissn>1873-460X</eissn><abstract>Abstract Aims To explore differences in clinical characteristics of patients with and without type 2 diabetes (T2DM) hospitalized with a first myocardial infarction (MI). Methods In this cross-sectional study we examined differences between patients with and without T2DM hospitalized with a first MI (n = 563). Multiple linear regression modeling was used to examine the association between T2DM and age of occurrence of MI. We adjusted for gender, systolic blood pressure (BP), lipids and creatinine level to examine whether these variables explained the association between T2DM and age of occurrence of MI. Results Among 563 patients with a first MI, T2DM patients ( n = 77) were older than non-diabetic patients (67.8 ± 10.9 vs. 64.4 ± 13.4 years, p < 0.05), had lower LDL (2.5 ± 0.8 vs. 3.4 ± 1.1 mmol/l, p < 0.001) and total cholesterol levels (4.4 ± 0.9 vs. 5.4 ± 1.2 mmol/l, p < 0.001), but higher systolic BP (150.3 ± 29.9 vs. 141.7 ± 27.5 mmHg, p < 0.05). The association between T2DM and age of occurrence of MI was largely explained by cholesterol levels. Conclusions T2DM patients were older when hospitalized with a first MI. This difference was largely explained by differences in cholesterol levels. The lower cholesterol levels in T2DM patients compared to non-diabetic patients, and maybe also the older age of occurrence of MI, might reflect the results successful primary prevention and systematic monitoring in T2DM.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27134032</pmid><doi>10.1016/j.jdiacomp.2016.03.024</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0001-5773-2614</orcidid><orcidid>https://orcid.org/0000-0001-7751-7516</orcidid></addata></record> |
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| subjects | Academic Medical Centers Age Age of Onset Aged Cholesterol Cholesterol - blood Cholesterol, LDL - blood Clinical characteristics Combined Modality Therapy Cross-Sectional Studies Diabetes Diabetes Mellitus, Type 2 - blood Diabetes Mellitus, Type 2 - complications Diabetes Mellitus, Type 2 - physiopathology Diabetes Mellitus, Type 2 - therapy Diabetic Angiopathies - epidemiology Diabetic Angiopathies - physiopathology Diabetic Angiopathies - therapy Diabetic Cardiomyopathies - epidemiology Diabetic Cardiomyopathies - physiopathology Diabetic Cardiomyopathies - therapy Endocrinology & Metabolism Female Gender Health risk assessment Health sciences Heart attacks Hospitalization Humans Hypercholesterolemia - complications Hypercholesterolemia - prevention & control Hypertension Laboratories Low density lipoprotein Male Middle Aged Mortality Myocardial infarction Myocardial Infarction - complications Myocardial Infarction - epidemiology Myocardial Infarction - physiopathology Myocardial Infarction - therapy Netherlands - epidemiology Patient Compliance Prevention Primary care Regression analysis Risk Factors Severity of Illness Index Studies Triglycerides Type 2 diabetes Variables |
| title | Differences in clinical characteristics between patients with and without type 2 diabetes hospitalized with a first myocardial infarction |
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