An observational study in Acute Coronary Syndrome, Diabetes Mellitus and Heart Failure, sponsored by Tarumanagara University. Completed at 1 site in Indonesia. Per ClinicalTrials.gov, last updated 2018-10-16.
Sponsored by Tarumanagara University · Observational
This study aims to compare the clinical profile and outcomes of acute coronary syndrome patients with diabetes and without diabetes.
Adult patients (≥ 18 years of age) with acute coronary syndrome which are diagnosed under International Classification of Disease (ICD-10) coding of I24.9 were included in this study. The inclusion criteria are patients with primary diagnosis of I24.9 and with a complete record of prior medical and treatment history, electrocardiographic findings, cardiac marker results and outcomes. Participants were grouped into 2 groups - diabetic and non-diabetic based on history of diabetes prior to ACS. Diagnosis of ACS was made based on clinical, electrocardiographic and cardiac marker findings found in the medical record.
Data such as age, sex, ethnic, education, prior medical and treatment history, electrocardiographic and cardiac enzyme results as well as outcomes were collected from the patients' medical records. Outcomes of interest were defined as either concomitant heart failure, acute lung edema, malignant arrhythmia, mortality or combinations of them as diagnosed in the medical records. Heart failure is defined based on echocardiographic findings from the medical records. Acute Lung Edema is defined based on medical records or reported clinical findings of lung edema - rhonchi reported in 1/3 of the lungs with oxygen saturation \<90%. Whereas malignant arrhythmia is defined as the presence of ventricular tachycardia (VT) or ventricular fibrillation (VF).
Adult patients (≥ 18 years of age) with acute coronary syndrome which are diagnosed under ICD-10 coding of I24.9.
Exclusion Criteria:
History of diabetes prior to Acute Coronary Syndrome
Other: No intervention
No documented history of diabetes prior to Acute Coronary Syndrome
Other: No intervention
Routine care
Heart Failure
Based on echocardiographic findings from the medical records
Time frame: Through study completion, an average of 1 year
Malignant Arrhythmia
Presence of ventricular tachycardia (VT) or ventricular fibrillation (VF)
Time frame: Through study completion, an average of 1 year
Acute Lung Edema
Based on medical records or reported clinical findings of lung edema - rhonchi reported in 1/3 of the lungs with oxygen saturation \<90%.
Time frame: Through study completion, an average of 1 year
Cardiogenic Shock
Clinical Diagnosis of Cardiogenic Shock reported in medical records
Time frame: Through study completion, an average of 1 year
Recurrent Myocardial Infarction
Clinical Diagnosis of Recurrent Myocardial Infarction reported in medical records
Time frame: Through study completion, an average of 1 year
Mortality
Patient death reported in medical records
Time frame: Through study completion, an average of 1 year
GRACE Score
GRACE (Global Registry of Acute Coronary Events) mortality risk score
Time frame: Through study completion, an average of 1 year
TIMI Score
Thrombolysis In Myocardial Infarction (TIMI) mortality risk score
Time frame: Through study completion, an average of 1 year
Plan to share: Undecided
No publications or documents are linked to this record.
This study is completed, as verified in Oct 2018. You cannot join it, but the record below documents what was studied.
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Tarumanagara University