DOI: 10.36347/sasjm.2023.v09i05.001

Pages: 399-403

Background: Acute coronary syndrome is a medical emergency with a pejorative prognosis linked to many early mechanical complications. Type 2 diabetes is currently a huge public health problem and remains the main risk factor for ischemic heart disease. Purpose: The objective of the study was to determine the epidemiological, electrical and angiographic characteristics of acute coronary syndromes in the type 2 diabetic patient admitted to our service. Method: It is a descriptive and analytical data collection study conducted between August 2019 and February 2020 on 169 patients divided into 71 diabetic and 98 non-diabetic patients. Results: The average age of the diabetic patient was 58 years ± 8.7 years with male predominance (p<0.04). The age of diabetes was 8.7± 5.7 years with an average glycated hemoglobin of 8.7%. The main risk factors for diabetes were HTA in 58.6% and dyslipidemia in 88%. Left ventricular dysfunction was present in 52% of patients with electrically significant anterior involvement (p=0.05). Angiographic lesions were diffuse and predominantly tritroncular in 59% (p<0.01) of cases increasing the risk of morbi-mortality. Conclusion: ACS in diabetic type 2 affect a younger population, the involvement is more often stenosis or occlusion and the lesions are multitruncated in the majority anterior.