OP-001 PROGNOSTIC STRATIFICATION IN DIABETIC PATIENTS ADMITTED FOR ACUTE CORONARY SYNDROME

Objective: To assess the different prognostic role of clinical, angiographic and metabolic parameters on prognosis in diabetic pts with preserved (EF >45%) or impaired LV systolic function (EF 75 years, presence of smoke, hypercholesterolemia, renal insufficiency, Insulin therapy, previous CAD, CABG, PAD, EPA at admission) dichotomized on basis of EF impaired or preserved. Differently from pts with preserved LV function, in pts with LV systolic dysfunction (EF 7%) and smoking at the time of admission and history of CAD had a negative prognostic value, while previous CABG and hypercholesterolemia favourably affected the survival. Moreover Renal Insufficiency, age and insulin therapy didn’t show any predictive value when EF was <45%. Conclusions: The different predictive role of many important prognostic variables between pts with and without LV systolic dysfunction underline the importance of risk stratification considering this parameter. This may allow to better finalize our preventive interventions.