ĐẶC ĐIỂM CỦA THANG ĐIỂM GRACE TRÊN BỆNH NHÂN NHỒI MÁU CƠ TIM CẤP KÈM ĐÁI THÁO ĐƯỜNG

Abstract

Introduction: Acute myocardial infarction is a common disease, causing high morbidity and mortality. No studies in Vietnam have used this scale to predict patients with acute myocardial infarction and type 2 diabetes. Objectives: Describe the characteristics of the GRACE score in patients with acute myocardial infarction and diabetes. Subjects - Methods: Prospectively describe a group of patients with acute myocardial infarction and type 2 diabetes. Stratify into low, medium, and high-risk categories of in-hospital mortality when GRACE score is ≤ 108, 109-140, and > 140. Results: From November 2022 to June 2023, 232 patients were surveyed. Among them, 49.14% were men, with an average age of 66.17 ± 10.05 years. Cardiovascular risk factors included dyslipidemia, hypertension, smoking, and a family history of premature cardiovascular disease, accounting for 90.52%, 89.66%, 30.17%, and 2.16%, respectively. The average GRACE score was 122.53 ± 28.25, with the lowest being 60 and the highest being 222. Risk stratification according to GRACE score showed low, medium, and high-risk categories accounting for 31.47%, 47.41%, and 21.12%, respectively. The average GRACE score in the ST-elevation myocardial infarction group was significantly higher than in the non-ST-segment elevation myocardial infarction group, 129.31 ± 29.64 and 117.12 ± 25.95, respectively, with p=0.002. Conclusion: Patients with acute myocardial infarction and type 2 diabetes have relatively high GRACE scores. The average GRACE score of the ST-segment elevation myocardial infarction group was higher than that of the non-ST-segment elevation myocardial infarction group.