THE IMPACT OF TYPE 2 DIABETES ON CARDIAC ARRHYTHMIAS IN ELDERLY PATIENTS DURING THE SUBACUTE PHASE OF MYOCARDIAL INFARCTION: A CLINICAL AND METABOLIC CORRELATION STUDY

Abstract

 Type 2 diabetes mellitus (T2DM) is a growing medical-social problem, characterized by widespread prevalence, increasing incidence, and serious complications. The combination of micro- and macrovascular complications in T2DM leads to early disability and death. The disease is often accompanied by atherosclerosis, resulting in lipid and carbohydrate metabolism disturbances, hypercholesterolemia, hypertriglyceridemia, and low levels of high-density lipoproteins. T2DM promotes the development of cardiovascular issues, including arrhythmias, particularly during the acute period of myocardial infarction (MI). The research aims to explore the prevalence and correlation of arrhythmias in elderly patients with MI and diabetes, highlighting the role of metabolic factors such as glycemic control and kidney function in arrhythmia development. The study found that the incidence of arrhythmias was higher in patients with T2DM, with significant correlations to age, diabetes duration, glycemic control, and the presence of diabetic nephropathy. Moreover, the study revealed a U-shaped relationship between the frequency of arrhythmias and HbA1c levels. These findings suggest that optimal management of diabetes and early detection of arrhythmias can improve outcomes in elderly patients with MI.