Prognosis After First-Ever Myocardial Infarction in Type 1 Diabetes Is Strongly Affected by Chronic Kidney Disease.

The prognosis and factors affecting the prognosis after a first-ever myocardial infarction in type 1 diabetes is unknown. We aimed to assess the prognosis and identify factors associated with mortality and risk for secondary cardiovascular events. Individuals with type 1 diabetes have a poor survival after their first-ever myocardial infarction. Chronic kidney disease was associated with higher mortality and risk of secondary events. Younger age at myocardial infarction and coronary revascularization during hospitalization were associated with lower mortality. Prevention of kidney disease is important to improve the prognosis in type 1 diabetes, both before and after a myocardial infarction.