TIÊN LƯỢNG TỬ VONG DO TIM MẠCH CỦA THANG ĐIỂM GRACE TRÊN BỆNH NHÂN NHỒI MÁU CƠ TIM CẤP KÈM ĐÁI THÁO ĐƯỜNG

Abstract

Introduction: Acute myocardial infarction (AMI) is a perilous condition, contributing significantly to disability and mortality rates globally. Despite various scoring systems developed to predict AMI, it remains the leading cause of death worldwide. The GRACE score, endorsed by the European Heart Association, is recommended for predicting mortality in AMI patients. Among diabetic individuals with AMI, coronary artery damage often leads to complications, influencing overall outcomes. Objectives: This study aims to assess the cardiovascular mortality prognosis using the GRACE score in patients with AMI and type 2 diabetes. Methods: A prospective, longitudinal follow-up, and survey were conducted on a cohort of patients diagnosed with AMI and diabetes. Results: Between November 2022 and June 2023, 232 patients (average age 66.17 ± 10.05 years, 50.86% women) were recruited. The average GRACE score was 122.53 ± 28.25. The in-hospital mortality rate was 6.47% (n = 15), while the 90-day mortality rate was 13.36% (n = 29). In multivariate analysis, chest pain symptoms emerged as independent predictors of 90-day mortality. Conclusion: In the studied population of AMI patients with type 2 diabetes, the 90-day mortality rate was more than double the in-hospital mortality rate. Multivariate analysis identified chest pain symptoms as an independent prognostic factor.