ADMISSION HYPERGLYCEMIA AS A PROGNOSTIC MARKER FOR ACUTE ST ELEVATION MYOCARDIAL INFARCTION.

Dr. C. Anjani Kumar, Dr. Lata Gudivada, Dr. Jinnuri Swapna, Dr. Bupesh Parasa

Abstract


BACKGROUND: Hyperglycemia is common in patients admitted with acute myocardial infarction and it is associated
with increased mortality and morbidity. Patients either with or without prior history of diabetes mellitus may present with
hyperglycemia during acute myocardial infarction an it is uncertain whether hyperglycemia upon admission remains an independent predictor of
in hospital morbidity and mortality. This study was aimed to assess the impact of admission blood glucose levels on the hospital course and
outcome in diabetic and non-diabetic patients admitted with acute myocardial infarction.
METHODS: 50 patients with acute myocardial infarction were divided into two groups based on their prior diagnosis of diabetes mellitus. Each
group was further divided into two groups with admission blood glucose levels less than 180 mg/dl and greater than 180mg/dl. All patients were
subjected to complete history taking and clinical examination, ECG, routine laboratory investigation including cardiac enzymes, admission
blood glucose level, HbA1c.
RESULTS: In this study of 50 patients, 25 were diabetic and 25 non diabetic. 22 had blood glucose levels less than 180 mg/dl and 28 had greater
than 180mg/dl. Patients who had arrhythmia were 10, of which 2 had blood glucose level less than 180mg/dl and 8 had blood glucose more than
180mg/dl. 7 had heart failure of which 3 had blood glucose less than 180mg/dl and 4 had greater than 180mg/dl. Total 3 deaths had occurred and
all had blood glucose greater than 180mg/dl.
CONCLUSIONS: Admission hyperglycemia was associated with increased complication in both diabetic and non-diabetic patients with acute
myocardial infarction.


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References


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