Abstract: this article describes a clinical case of stenotic lesion of the main branches of the coronary arteries in a patient with type 2 diabetes mellitus (DM) with subsequent development of myocardial infarction (MI) on the background of prolonged hyperglycemia, with the formation of ischemic hypokinesis of the basal segments of the left ventricle in the presence of coagulation instability of the hemostatic system.
The presence of metabolic syndrome significantly affects the clinical course of the pathological process, which was manifested by the development of MI, and the disease itself was characterized by significantly longer pain syndrome, frequent relapses, and significantly more expressed manifestations of resorptive necrotic syndrome, which indicates a large area of myocardial damage in patients with metabolic syndrome. At the same time, this category of patients is diagnosed with a significantly higher frequency of complications in the acute period of the disease, which is manifested by more frequent rhythm and conduction disorders, and signs of acute heart failure.
Coronary heart disease (CHD) continues to occupy a major place in the structure of morbidity and is one of the leading causes of death and disability in the population. About a third of all acute coronary events occur as a result of Q-myocardial infarction (MI), in which the mortality rate is 18.5 per 100 thousand population. Every year, more than 50 thousand new cases of myocardial infarction are registered in Russia.
Keywords: comorbidity, myocardial infarction, type 2 diabetes, coagulation instability of the hemostatic system