Authors
1
AL-KINDY COLLEGE OF MEDICINE
2
Al-kindy teaching hospital, Baghdad, Iraq
3
Al-Nukhba University College
4
Iraqi Center for Heart disease/ Medical City-Baghdad
,
Document Type : Research Paper
Abstract
ABSTRACT
Background: Cardiovascular complications are more common among diabetic patients and are usually associated with a significantly greater risk of morbidity and mortality than in nondiabetic subjects. Hyperglycemia during stress situations, especially during Acute Coronary Syndrome, may also be seen in nondiabetic patients. Regardless of diabetes status, hyperglycemia on arrival for patients presenting with Acute Coronary Syndrome has been associated with adverse outcomes, including death.
Aim of study: To analyze the relation between serum glucose concentration and hospital admission of patients across the whole spectrum of acute coronary syndromes.
Methods: A cross sectional study that conducted at Al-Kindy Teaching Hospital for a period of ten months from 1st of Mar. 2021 till 1st of March 2022. It included 100 patients who admitted to the Coronary Care Unit and diagnosed with Acute Coronary Syndrome. Admission plasma glucose concentrations from blood samples drawn on arrival in the emergency room were recorded.
Results: In this study, 53% of patients had admission acute phase hyperglycemia. the highest proportion of study patients who didn’t smoke was diabetic (60.9%) with a significant association between study group and smoking status. We noticed that 76.5% of patients with STEMI were diagnosed with admission acute phase hyperglycemia with a significant association between acute phase hyperglycemia and Acute Coronary Syndrome symptom
Conclusion: Newly-diagnosed hyperglycemia is obviously common metabolic problem among patients with acute coronary syndrome. Hyperglycemia is a major problem in our patients with and without a past history of diabetes when they present with Acute Coronary Syndrome.
Keywords: Acute Coronary Syndrome, ST elevation, hyperglycemia, diabetes, Iraq.
Key words: diabetes Meletus ,ACS
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