Introduction: Acute myocardial infarction (AMI) is an important cause of acute emergencies and is on the rise in the developing countries like Bangladesh. Patients with hyperglyceamia are at more risk than non-diabetic patients. Hyperglyceamia is pre-diabetic state. Aim of the study: The aim of this study was to compare the outcome of hyperglyceamia and normoglycaemia in patients with ST-segment elevation Acute Myocardial Infarction. Methods: This prospective prognostic cohort research was conducted at the Department of Cardiology, NICVD, Dhaka from July 2010 to June 2011. Total 200 study populations were selected from the ST- segment elevation Acute Myocardial Infarction patients with or without history of DM. Result: In this study, number of patients improvement in group-1 was significantly (p < 0.01) higher 90 (90%), in group-2 was 73 (73%). But death (p<0.01) was more 27 (27%) in group-2 and in group-1 was 10 (10%). The number of patients developed morbidity like (Cardiogenic shock, Congestive cardiac failure, hypotension, Thromboembolism and arrhythmia) were less in group-1 (44%) but more common in group-2 (70%). The result was statistically very significant (p < 0.01). Number of patients improvement in group-1 was significantly (p < 0.001) higher 90 (90%) than in group II-A 31 (62%). But death (p < 0.001) was more 19 (38%) in group-2A than in group-1 10 (10%). The number of patients developed morbidity like (Cardiogenic shock, Congestive cardiac failure, hypotension, Thromboembolism and arrhythmia) were 44 (44%) in group-1 and 30 (60%). There was no statistical significance. Conclusion: There is difference in the in-hospital outcome of hyperglyceamia and normoglycaemia in patients with ST-segment elevation Acute Myocardial Infarction. Improvement and morbidity were higher in the normoglycaemia patients than hyperglyceamia patients and death rate is higher is the hyperglyceamia patients. But there is no difference in normoglycaemia and diabetic hyperglyceamia patients.
| Published in | American Journal of Biomedical and Life Sciences (Volume 10, Issue 4) |
| DOI | 10.11648/j.ajbls.20221004.14 |
| Page(s) | 119-124 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Hayperglycemia, Normoglycaemia, STEMI, Diabetic
| [1] | Antman E, Bassand JP, Klein W, Ohman M, Lopez Sendon JL, Rydén L, Simoons M, Tendera M. Myocardial infarction redefined—a consensus document of the Joint European Society of Cardiology/American College of Cardiology committee for the redefinition of myocardial infarction: the Joint European Society of Cardiology/American College of Cardiology Committee. Journal of the American College of Cardiology. 2000 Sep; 36 (3): 959-69. |
| [2] | Wilson PW. Established risk factors and coronary artery disease: the Framingham Study. American journal of hypertension. 1994 Jul 1; 7 (7_Pt_2): 7S-12S. |
| [3] | Canto JG, Kiefe CI, Rogers WJ, Peterson ED, Frederick PD, French WJ, Gibson CM, Pollack CV, Ornato JP, Zalenski RJ, Penney J. Number of coronary heart disease risk factors and mortality in patients with first myocardial infarction. Jama. 2011 Nov 16; 306 (19): 2120-7. |
| [4] | Nauta ST, Deckers JW, Akkerhuis KM, Van Domburg RT. Short-and long-term mortality after myocardial infarction in patients with and without diabetes: changes from 1985 to 2008. Diabetes care. 2012 Oct 1; 35 (10): 2043-7. |
| [5] | Dirkali A, van der Ploeg TJ, Nangrahary M, Cornel JH, Umans VA. The impact of admission plasma glucose on long-term mortality after STEMI and NSTEMI myocardial infarction. International journal of cardiology. 2007 Oct 1; 121 (2): 215-7. |
| [6] | Wild S, Roglic G, Green A, Sicree R, King H. Globalo prevalence of diabetes: estimates for the year 2000 and projection for 2030. Diabetes Care 2004; 27: 1047-53. |
| [7] | Kannel WB. Lipids, diabetes and coronary heart disease: Insights from the Framingham Study. Am Heart J 1985; 110: 1100-07. |
| [8] | Nesto RW, Phillips RT. Asymptomatic myocardial ischemia in diabetic patients. Am J Med 1986; 80: 40-7. |
| [9] | Felman A. Hyperglyceamia: Symptoms, causes and treatments. MEDICAL NEWS TODAY [Internet]. 2019 May 7 [cited 2021 Jul 15] Available from: https://www.medicalnewstoday.com/articles/323699. |
| [10] | Sewdarsen M, Jialal I, Vythilingum S, Govender G, Rajput MC. Stress hyperglycaemia is a predictor of abnormal glucose tolerance in Indian patients with acute myocardial infarction. Diabetes Research (Edinburgh, Scotland). 1987 Sep 1; 6 (1): 47-9. |
| [11] | Oswald GA, Smith CC, Betteridge DJ, Yudkin JS. Determinants and importance of stress hyperglycaemia in non-diabetic patients with myocardial infarction. Br Med J (Clin Res Ed). 1986 Oct 11; 293 (6552): 917-22. |
| [12] | Oswald GA, Yudkin JS. Hyperglycaemia following acute myocardial infarction: the contribution of undiagnosed diabetes. Diabetic medicine. 1987 Jan 2; 4 (1): 68-70. |
| [13] | Oswald G, Corcoran 5, Yudktin JS. Prevalence and riskcs of hyperglycaeia and undiagnad diabetes in patients with acute myocardial infalrction. Lacea 1984; i: 1264-7. |
| [14] | Ishihara, M. Kojima, S, Sakamoto, T. Kimura, K. Kosuge, M. Asada, Y, Tel, C, Miyazaki, S, Sonoda, M, Tsuchihashi, K, Yamagishi, M, Shirai, M, Hiraoka, H, Honda, T, Ogata, Y & Ogawa, H 2009, on Behalf of the Japanese Acute Coronary Syndrome Study (JACSS) Investigators, "Comparison of Blood Glucose Values on Admission for Acute Myocardial Infarction in Patients With Versus Without Diabetes Mellitus, Am J Cardiol, vol 104, pp. 769-774. |
| [15] | Petursson P, Herlitz J, Caidahl K, Gudbjörnsdottir S, Karlsson T, Perers E, Sjöland H, Hartford M. Admission glycaemia and outcome after acute coronary syndrome. International journal of cardiology. 2007 Apr 4; 116 (3): 315-20. |
| [16] | Norhammar A, Tenerz Å, Nilsson G, Hamsten A, Efendíc S, Rydén L, Malmberg K. Glucose metabolism in patients with acute myocardial infarction and no previous diagnosis of diabetes mellitus: a prospective study. The Lancet. 2002 Jun 22; 359 (9324): 2140-4. |
| [17] | Dawson-Saunders B. Basic & Clinical Biostatistics. ALANGE medical book. 1994: 42-161. |
| [18] | Malik A, Islam MN, Zafar A, Khan AK, Ramizuddin M. Clinical patterns of ischemic heart diseases and its association with some known risk factors. Bangladesh Heart Journal. 1987; 2: 1. |
| [19] | Wahab NN, Cowden EA, Pearce NJ, Gardner MJ, Merry H, Cox JL, ICONS investigators. Is blood glucose an independent predictor of mortality in acute myocardial infarction in the thrombolytic era?. Journal of the American College of Cardiology. 2002 Nov 20; 40 (10): 1748-54. |
| [20] | Amanullah M. Intravenous thrombolytic in acute myocardial infarction," Bangladesh Heart J. 1994 vol 9, pp 1-4. |
| [21] | Stranders I, Diamant M, van Gelder RE, Spruijt HJ, Twisk JW, Heine RJ, Visser FC. Admission blood glucose level as risk indicator of death after myocardial infarction in patients with and without diabetes mellitus. Archives of internal medicine. 2004 May 10; 164 (9): 982-8. |
| [22] | Beck JA, Meisinger C, Heier M, Kuch B, Hörmann A, Greschik C, Koenig W. Effect of blood glucose concentrations on admission in non-diabetic versus diabetic patients with first acute myocardial infarction on short-and long-term mortality (from the MONICA/KORA Augsburg Myocardial Infarction Registry). The American journal of cardiology. 2009 Dec 15; 104 (12): 1607-12. |
| [23] | Zeller M, Cottin Y, Brindisi MC, Dentan G, Laurent Y, Janin-Manificat L, L'Huillier I, Beer JC, Touzery C, Makki H, Verges B. Impaired fasting glucose and cardiogenic shock in patients with acute myocardial infarction. European heart journal. 2004 Feb 1; 25 (4): 308-12. |
| [24] | Mamun MS, Majumder AA, Ullah M, Alam S. Angiographic Comparison of Coronary Artery Disease between Diabetic Men and Women. Cardiovascular Journal. 2013 Aug 7; 6 (1): 3-9. |
APA Style
Musammat Sufia Akhter, Mirza Abdul Kalam Mohiuddin, Shamshad Khan, Ratul Sakaobe Shefa, Ayesha Mubashsbira Labiba. (2022). A Comparative Study of the Outcome of Hyperglyceamia and Normoglycaemia in Patients with ST-Segment Elevation Acute Myocardial Infarction. American Journal of Biomedical and Life Sciences, 10(4), 119-124. https://doi.org/10.11648/j.ajbls.20221004.14
ACS Style
Musammat Sufia Akhter; Mirza Abdul Kalam Mohiuddin; Shamshad Khan; Ratul Sakaobe Shefa; Ayesha Mubashsbira Labiba. A Comparative Study of the Outcome of Hyperglyceamia and Normoglycaemia in Patients with ST-Segment Elevation Acute Myocardial Infarction. Am. J. Biomed. Life Sci. 2022, 10(4), 119-124. doi: 10.11648/j.ajbls.20221004.14
AMA Style
Musammat Sufia Akhter, Mirza Abdul Kalam Mohiuddin, Shamshad Khan, Ratul Sakaobe Shefa, Ayesha Mubashsbira Labiba. A Comparative Study of the Outcome of Hyperglyceamia and Normoglycaemia in Patients with ST-Segment Elevation Acute Myocardial Infarction. Am J Biomed Life Sci. 2022;10(4):119-124. doi: 10.11648/j.ajbls.20221004.14
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Download@article{10.11648/j.ajbls.20221004.14,
author = {Musammat Sufia Akhter and Mirza Abdul Kalam Mohiuddin and Shamshad Khan and Ratul Sakaobe Shefa and Ayesha Mubashsbira Labiba},
title = {A Comparative Study of the Outcome of Hyperglyceamia and Normoglycaemia in Patients with ST-Segment Elevation Acute Myocardial Infarction},
journal = {American Journal of Biomedical and Life Sciences},
volume = {10},
number = {4},
pages = {119-124},
doi = {10.11648/j.ajbls.20221004.14},
url = {https://doi.org/10.11648/j.ajbls.20221004.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajbls.20221004.14},
abstract = {Introduction: Acute myocardial infarction (AMI) is an important cause of acute emergencies and is on the rise in the developing countries like Bangladesh. Patients with hyperglyceamia are at more risk than non-diabetic patients. Hyperglyceamia is pre-diabetic state. Aim of the study: The aim of this study was to compare the outcome of hyperglyceamia and normoglycaemia in patients with ST-segment elevation Acute Myocardial Infarction. Methods: This prospective prognostic cohort research was conducted at the Department of Cardiology, NICVD, Dhaka from July 2010 to June 2011. Total 200 study populations were selected from the ST- segment elevation Acute Myocardial Infarction patients with or without history of DM. Result: In this study, number of patients improvement in group-1 was significantly (p Conclusion: There is difference in the in-hospital outcome of hyperglyceamia and normoglycaemia in patients with ST-segment elevation Acute Myocardial Infarction. Improvement and morbidity were higher in the normoglycaemia patients than hyperglyceamia patients and death rate is higher is the hyperglyceamia patients. But there is no difference in normoglycaemia and diabetic hyperglyceamia patients.},
year = {2022}
}
TY - JOUR T1 - A Comparative Study of the Outcome of Hyperglyceamia and Normoglycaemia in Patients with ST-Segment Elevation Acute Myocardial Infarction AU - Musammat Sufia Akhter AU - Mirza Abdul Kalam Mohiuddin AU - Shamshad Khan AU - Ratul Sakaobe Shefa AU - Ayesha Mubashsbira Labiba Y1 - 2022/07/29 PY - 2022 N1 - https://doi.org/10.11648/j.ajbls.20221004.14 DO - 10.11648/j.ajbls.20221004.14 T2 - American Journal of Biomedical and Life Sciences JF - American Journal of Biomedical and Life Sciences JO - American Journal of Biomedical and Life Sciences SP - 119 EP - 124 PB - Science Publishing Group SN - 2330-880X UR - https://doi.org/10.11648/j.ajbls.20221004.14 AB - Introduction: Acute myocardial infarction (AMI) is an important cause of acute emergencies and is on the rise in the developing countries like Bangladesh. Patients with hyperglyceamia are at more risk than non-diabetic patients. Hyperglyceamia is pre-diabetic state. Aim of the study: The aim of this study was to compare the outcome of hyperglyceamia and normoglycaemia in patients with ST-segment elevation Acute Myocardial Infarction. Methods: This prospective prognostic cohort research was conducted at the Department of Cardiology, NICVD, Dhaka from July 2010 to June 2011. Total 200 study populations were selected from the ST- segment elevation Acute Myocardial Infarction patients with or without history of DM. Result: In this study, number of patients improvement in group-1 was significantly (p Conclusion: There is difference in the in-hospital outcome of hyperglyceamia and normoglycaemia in patients with ST-segment elevation Acute Myocardial Infarction. Improvement and morbidity were higher in the normoglycaemia patients than hyperglyceamia patients and death rate is higher is the hyperglyceamia patients. But there is no difference in normoglycaemia and diabetic hyperglyceamia patients. VL - 10 IS - 4 ER -
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