Aggarwal, Hari K. Pt. B. D. Sharma Postgraduate Institute of Medical Sciences - Department of Medicine, India , Gupta, Tarana Pt. B. D. Sharma Postgraduate Institute of Medical Sciences - Department of Medicine, India , Jain, Deepak Pt. B. D. Sharma Postgraduate Institute of Medical Sciences - Department of Medicine, India , Acharya, H. K. M.P. Shah Medical College - Department of Medicine, India , Kumar, Ashwani Pt. B. D. Sharma Postgraduate Institute of Medical Sciences - Department of Medicine, India

Stress hyperglycemia as a prognostic indicator in non-diabetic myocardial infarction patients

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Aim. The present study aims to find out prognostic importance of stress hyperglycemia and incidence of various complications in patients of Acute myocardial infarction (MI) without diabetes mellitus. Method. We studied 50 patients admitted with acute MI without previous diabetes mellitus. Blood glucose level were estimated at time of admission and regularly thereafter. Glycosylated hemoglobin was estimated at the time of admission to rule out diabetes. Based on the blood glucose level at time of admission, patients in the study were divided into two groups i.e. Group A (patients with blood glucose level 140 mg/dL) and group B (patients with blood glucose level ≥140 mg/dL). Incidence of various complications of MI and mortality was compared between two groups. Results. Incidence of heart failure in group B patients was 52% as compared to group A patients with 36% incidence (p value 0.05). Incidence of arrythmias and heart block in group B patients was 24% and 28% respectively where in group A patients was 12% and 12% respectively (p value 0.05). Mortality rate was 20% in group B patients compared to group A patients (4%)(p value 0.05). Conclusion. Stress hyperglycemia is common in patients of acute myocardial infarction. Patient with stress hyperglycemia have more adverse events including heart failure, arrhythmias, heart block, re-infarction and mortality. So it is advised that in all patients with AMI, blood glucose level should be estimated at time of admission to prognosticate and for early initiation of appropriate preventive measures.

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Myocardial infarction , heart failure , stress hyperglycemia , arrhythmia

Cumhuriyet Medical Journal

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