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[Prognosis of the immediate outcome in myocardial infarct in diabetes mellitus patients].

The author makes a prognostic evaluation of prospectively observed 263 patients with acute myocardial infarction, based on the indices duration of the disease--diabetes mellitus and ketoacidosis in the acute phase of infarction. Grave, complicated course of infarction with increase of lethality was established in parallel with the duration of diabetes mellitus: to 5 years--27,5%, from 6 to 10 years--44,8% and over 10 years--53,3%. A very high lethality was also established in diabetics in ketoacidosis during the acute phase of infarction--66%, whereas in the patients without ketoacidosis--lethality was--30,5%. The prognosis of infarction in the patients is of significance: I. For the complex diagnostic-therapeutic activity, directed to prophylaxis and timely treatment of the grave disorders in the conditions of the patients. 2. For the individually planned rehabilitation. 3. For the determination of the term for in-patient treatment, 4. For selection of the patients with unfavourable life and labour prognosis.