Estimation of mortality prognosis in patients with acute myocardial infarction and type 2 diabetes mellitus taking into account intercellular matrix parameters

Abstract

Ischemic heart disease ranks first among cardiovascular disorders and is one of the main causes of disability and mortality worldwide. The development and course of acute myocardial infarction is known to be accompanied by changes in extracellular matrix. Today the impact of hyperglycemia on intercellular matrix system in patients with acute myocardial infarction and type 2 diabetes still remains disputable. The study demonstrated a statistically significant increase in matrix metalloproteinase-13 in an insufficient increase in the level of tissue inhibitor of metalloproteinase-4 in patients with acute myocardial infarction and type 2 diabetes, indicating an imbalance in intercellular matrix system. The authors defined prognostic characteristics regarding matrix metalloproteinase-13 and tissue inhibitor of metalloproteinase-4 in patients with acute myocardial infarction and type 2 diabetes as for mortality of these patients.