Myocardial infarction in patients with diabetes mellitus

To date, there is no consensus on the relationship between myocardial infarction and diabetes mellitus. Some authors [18, 19, 20, 24, 29, 33 et al.] note a more frequent occurrence of myocardial infarction in diabetes mellitus, others [4, 34, etc.] did not find the effect of diabetes mellitus on the frequency of myocardial infarction and mortality in it. A number of authors [6, 7, 11, 13, 16, 24 et al .] indicates a more severe course of diabetes mellitus on the background of myocardial infarction and myocardial infarction on the background of diabetes mellitus, high mortality, shorter life expectancy after myocardial infarctions, repeated myocardial infarctions, frequent ruptures of the heart muscle, severe collapses. Joslin et al., Heinsen believe that in diabetes mellitus, as a rule, myocardial infarctions are pain-free, while others do not find a difference in the symptoms of myocardial infarctions in diabetes mellitus. There is no unanimity on the issue of thrombosis in diabetes mellitus. So, Fearuley, Chakraborti found in diabetes mellitus a decrease in fibrinolytic activity and an increased tendency of the blood to thrombosis. According to Thomas, Lee, Rabin, Coodale et al., the frequency of thromboembolic complications and lysis time in patients with diabetes mellitus and myocardial infarction do not differ from those in patients with a heart attack without diabetes.