Citation

Iwasaki K, Isii A, Yuhara A, Fujinaka S, Ikeda M, Moriya M. Journal of the Japan Diabetes Society 1996; 39(8): 605-611.

Copyright

(Copyright © 1996)

DOI

10.11213/tonyobyo1958.39.605

PMID

unavailable

Abstract

To determine specific clinical characteristics of patients with diabetes mellitus who had undergone a sudden death, 419 diabetics who had died between 1991 and 1993 were divided into two groups and analyzed. One hundred and three (24.6%) cases that had died within 24 hours (SD groups ; 58 men and 45 women, range 32-91 years old, mean age 69.1 years) were considered to be sudden deaths. One hundred and eighty (43.0%) cases who had died after more than 24 hours of clinical course (NSD group ; 85 men and 95 women, range 38-92 years old, mean age 72.6 years) were classed as non-sudden deaths. Cases of accidental death, suicide or with malignant neoplasms were eliminated. Major causes of death in SD group were cardiac disease (69.9%), unknown (13.6%), cerebrovascular disease (8.7%) and chronic renal failure (2.9%). In the NSD group major causes of death were cardiac disease (28.3%), cerebrovascular disease (18.9%), infectious disease (17.2%) and chronic renal failure (16.2%). There was no significant correlation between the incidence of sudden death and HbA1C, therapeutic modality or diabetic major complications (retinopathy, nephropathy and neuropathy). The number of patients with angina pectoris, old myocardial infarction or with hyperlipidemia was significantly higher in the SD group, and these patents may be a high risk group for sudden death. In the SD group, 47.5% of cases died at home. These suggests that we have to note the possibility of sudden death at home in diabetic outpatient treatment especially in patients with high risk factors. © 1996, THE JAPAN DIABETES SOCIETY. All rights reserved.

Language: en