1999, Number 3
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ABSTRACTObjective: To determine whether a relationship exists between antithrombin III (ATIII) levels and miocardial infarct (MI) by coronary thrombosis in the non-insulin-dependent diabetic patient. Materials and methods: A descriptive study of 99 non-insulin-dependent patients was carried out. Plasmatic levels of ATIII were measured. Group I included patients with MI on whom coronary angiography had been previously performed. Group II was made up of 32 patients with non-insulin-dependent diabetes mellitus (NIDDM) without miocardial infarct. Results: Group I was composed of 42 males (63%) and 25 females (37%) patients. The age interval of the group studied ranged from 42-82 years. On determination of ATIII levels, 50 (75%) were found in reference numbers (88-131%) and 17 (25%) with diminution. Forty-five patients exhibited a coronary obstruction level greater or equal to 85%. In 34 (50.7%) patients, the ATIII value was found in reference values, and in 11 (16.4%) of the patients, diminution was found (40-83%). Among the 22 patients with an obstruction grade of less or equal to 84% 16 (24%) presented normal activity, and six patients (9%) showed diminution. Additionally, the MI evolution interval ranged from 6-60 hours, noting that from 36 hours, percent of ATIII activity was diminished (40-83%). In group II, the percent of ATIII activity was found in the reference values, with a range of 88-115%. Conclusions: ATIII activity is not altered during the first 24 hours of MI. Although this study was not designed to evaluate MI evolution, we observed a correlation between MI evolution and diminution in ATIII activity.
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