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RENAL DYSFUNCTION IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION AGAINST THE BACKGROUND OF TYPE 2 DIABETES MELLITUS

The aim of the study was to study the role of kidney dysfunction in determining the severity of acute myocardial infarction (IM) against the background of type 2 diabetes mellitus (type 2 DM). 104 patients with acute myocardial infarction were examined: 42 women (40.4%) and 62 men (59.6%). 68 (65.4%) of the patients had type 2 diabetes. It was found that type 2 diabetes often develops in women of relatively older age (over 60 years), with a duration of diabetes greater than 5 years, with subcompensated or decompensated course of the disease. In type 2 DM, renal impairment is a risk factor for the development and worsening of the severity of IM. Signs of proteinuria nephropathy, cilinduria and reduction of filtration in a tangle below 80 ml/min are the background for myocardial infarction development. Decrease of TFR in patients with type 2 DM below 60 ml/min may contribute to fatal outcomes. For the purpose of early diagnostics of myocardial infarction complications and determination of prognosis in patients with type 2 DM in its initial periods (acute and subacute stage) along with assessment of ECG, EchoCG, coronarography indexes, blood rheology, it is necessary to study the indexes of kidney dysfunction, especially loss of tangle filtration.