[Diabetes mellitus and myocardial infarct]

The data from the case histories of 106 patients with myocardial infarction (MI) and diabetes mellitus (DM) from the intensive care unit of III Internal Clinic of the Medical Faculty of the Higher Medical Institute "I. P. Pavlov"-- Plovdiv are interpreted as well as of the same number of patients with myocardial infarction without diabetes mellitus. The authors found a higher percentage of painless forms of myocardial infarction in diabetics, no matter the duration, form and severity of the diabetes. The patients with DM and MI have a slowed down rehabilitation and reverse ECG dynamics. The complications in both groups observed do not differ. Myocardial rupture is significantly more frequent among the females from both groups. High leukocytosis, with shifting to the left, accelerated ESR, high SGOT and LDH activity and hypercoagulemia as well as their slowed down restoration should be admitted--a constellation with an unfavourable prognostic sign, requiring a cautious treatment and a slower rehabilitation.