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Master Thesis

Impact du diabète sur la maladie coronarienne à la Réunion : résultats d’une étude rétrospective menée sur l’année 2016 au CHU de La Réunion

Abstract : Context: the health of La Réunion Island’s population is severely impacted by cardiovascular disease (CVD) as well as by diabetes mellitus (DM). Objectives: to describe the characteristics and the evolution of Reunionese patients hospitalized for myocardial infarction in 2016 with particular attention to subjects with type 2 diabetes (T2D). Methods: Retrospective multicentric study at La Reunion University Hospital including patients hospitalized for acute coronary syndrome in 2016. Results: 772 patients were included in the study. Almost half of the subjects were T2D. Compared to nondiabetic subjects, the T2D subjects were older, more often women, they had a hypertension in 75.7% of the cases and a dyslipidemia in 52.4% of the cases. T2D patients were more often in secondary prevention and more frequently had a history of ischemic heart disease, stroke, or arteriopathy disease. T2D subjects had a 2 times higher prevalence of chronic renal failure. The presence of diabetes was a major risk factor for hospital death. The average LDL-C was 0.92 g / L. The goal of LDLc was achieved in less than half of diabetics considered to be at very high cardiovascular risk. Conclusion: type 2 diabetes and hypertension are major CV risk factors and more often found in our Reunionese population. More than half of diabetic subjects were in secondary prevention and more than half of the patients should have benefited from an intensification of their lipid-lowering treatment.
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Submitted on : Wednesday, April 29, 2020 - 6:13:31 PM
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Oriane Bonfanti. Impact du diabète sur la maladie coronarienne à la Réunion : résultats d’une étude rétrospective menée sur l’année 2016 au CHU de La Réunion. Sciences du Vivant [q-bio]. 2020. ⟨dumas-02558707⟩

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