Diabetic Patients with an Acute Myocardial Infarction in Terms of Risk Factors and Comorbidities Management: Characteristics of the Highest-Risk Individuals

Dąbek, Józefa; Bałys, Mariusz; Majewski, Michał; Gąsior, Zbigniew

doi:10.17219/acem/58785

Cited by 6 publications

(6 citation statements)

References 18 publications

(24 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, the angiographic results of the patients with stenosis showed stenosis in the LMCA branches and RCA. In a study performed in arteries in which coronary angiography and stenting were performed, the most common lesion was in the LAD [23]. According to the incidence of coronary artery involvement, it can be said that the arterial distribution in which the lesions are detected is similar to the rates reported in the literature.…”

Section: Discussionmentioning

confidence: 64%

Does stress hyperglycemia affect mortality? Acute myocardial infarction – case control study

Cinar

Avcı

Gülen

et al. 2019

Arch Med Sci Atheroscler Dis

View full text Add to dashboard Cite

Introduction: We aimed to investigate the effect of stress (acute) hyperglycemia in patients with acute coronary syndrome who had not been previously diagnosed with diabetes mellitus (DM) on the prognosis of the disease in terms of mortality. Material and methods: Patients who were admitted to the Adana Numune Training and Research Hospital Emergency Service Clinic between August 2010 and August 2013 and whose plasma blood glucose level was over 140 mg/dl at the time of admission but were not previously diagnosed with DM, who were over the age of 18 and considered to have acute myocardial infarction were included. Results: A total of 259 patients whose data were fully attainable were included in the study. 80.3% (n = 208) of the patients were male and 19.7% (n = 41) were female. Non-ST elevation myocardial infarction was found in 71.6%, ST elevation myocardial infarction was found in 28.4% of the patients with stress hyperglycemia. It was determined that 10.1% of patients with stress-related hyperglycemia and 1.3% of patients without stress-related hyperglycemia had died. Conclusions: The plasma blood glucose level at presentation of patients diagnosed with acute myocardial infarction at the emergency room is associated with early in-hospital mortality.

show abstract

Section: Discussionmentioning

confidence: 64%

Does stress hyperglycemia affect mortality? Acute myocardial infarction – case control study

Cinar

Avcı

Gülen

et al. 2019

Arch Med Sci Atheroscler Dis

View full text Add to dashboard Cite

show abstract

“…Some clinicians consider that AHG is only a criterion reflecting severity of AMI because it is common in patients who are older, diabetic, and have STEMI with acute heart failure [12]. However, the definite relationship between AHG and short and long-term poor prognoses shows that AHG is also a factor that contributes to progression of disease [2].…”

Section: Discussionmentioning

confidence: 99%

High admission glucose levels predict worse short-term clinical outcome in non-diabetic patients with acute myocardial infraction: a retrospective observational study

Ding

Chen

et al. 2019

BMC Cardiovasc Disord

View full text Add to dashboard Cite

Background Patients with acute myocardial infarction (AMI) often accompanied by admission hyperglycemia, which usually predicts a poor clinical outcomes for non-diabetes mellitus. Appropriate cut-point to identify high risk individuals in these patients remains controversial. Methods One thousand six hundred ninety-eight non-diabetes AMI patients in this retrospective study were divided into 3 groups according to admission glucose levels (euglycemia group≤140 mg/dL, moderate hyperglycemia group 141–179 mg/dL, severe hyperglycemia group≥180 mg/dL). The primary endpoint of this study was all-cause in-hospital mortality rate. In-hospital motality related risk factors was analyzed by multivariate binary logistic regression analyses. Results All myocardial necrosis markers and Log NT-proBNP in severe hyperglycemia group were significantly higher than those in the other 2 groups. Logistic regression showed that independent predictors of the in-hospital mortality rate in non-diabetic patients with AMI were age (OR = 1.057, 95% CI 1.024–1.091, P < 0.001), logarithm of the N-terminal pro-brain natriuretic peptide (OR = 7.697, 95% CI 3.810–15.550, P < 0.001), insufficient myocardial reperfusion (OR = 7.654, 95% CI 2.109–27.779, P < 0.001), percutaneous coronary intervention (OR = 0.221, 95% CI 0.108–0.452, P < 0.001) and admission glucose (as categorical variable). Patients with moderate hyperglycemia (OR = 1.186, 95% CI 0.585–2.408, P = .636) and severe hyperglycemia (OR = 4.595, 95% CI 1.942–10.873, P = 0.001) had a higher all-cause in-hospital mortality rate compared with those with euglycemia after AMI in non-diabetic patients. Conclusions The all-cause in-hospital mortality risk increases remarkably as admission glucose levels elevated in non-diabetic patients with AMI, especially in patients with admission glucose levels ≥180 mg/dL. Severe admission hyperglycemia could be regarded as prospective high-risk marker for non-diabetic AMI patients.

show abstract

“…Angiographic results of stenosis patients also exhibited LMCA and RCA stenosis. Most coronary angiography and stenting lesions were in the LAD [33] . According to coronary artery involvement, the lesion distribution is identical to that reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

Assessment of stress hyperglycemia in acute coronary syndrome cases

Chowda¹,

Inamdar²,

Jha³

2023

Int. J. Adv. Res. Med.

View full text Add to dashboard Cite

Background: In acute coronary syndrome (ACS), admission hyperglycemia is associated with adverse cardiovascular events in patients. Objective: To assess the prognostic value of stress hyperglycemia for the in-hospital outcome of patients admitted due to ACS. Methods: This study was conducted on 100 patients admitted with Acute Myocardial Infarction in a tertiary care hospital. Patients were categorized according to their blood sugar level stress hyperglycemia present and absent. Results: 64% of the patients were diagnosed with non-ST-elevation myocardial infarction NSTEMI and 36% were diagnosed with STEMI. Lesions most frequently (84.9%) in the left anterior descending artery (LAD) followed by right coronary artery 65% followed by Circumflex artery (54%) followed by Left Main Coronary Artery (3%). Death in stress hyperglycemia group was four times that of those who were not having hyperglycemia. Conclusion: Stress hyperglycemia is an independent predictive factor for in-hospital complications after ACS. The results highlight the need to assess admission blood glucose concentration in all patients admitted due to ACS, including nondiabetic ones, aiming at identifying those at higher risk for complications.

show abstract

Diabetic Patients with an Acute Myocardial Infarction in Terms of Risk Factors and Comorbidities Management: Characteristics of the Highest-Risk Individuals

Cited by 6 publications

References 18 publications

Does stress hyperglycemia affect mortality? Acute myocardial infarction – case control study

Does stress hyperglycemia affect mortality? Acute myocardial infarction – case control study

High admission glucose levels predict worse short-term clinical outcome in non-diabetic patients with acute myocardial infraction: a retrospective observational study

Assessment of stress hyperglycemia in acute coronary syndrome cases

Contact Info

Product

Resources

About