Prognostic implications of admission hyperglycemia for in hospital morbidity and mortality in acute coronary syndrome
المؤلفون المشاركون
Oraha, Amir A.
al-Rabii, Salim M.
المصدر
Journal of the Faculty of Medicine Baghdad
العدد
المجلد 52، العدد 3 (30 سبتمبر/أيلول 2010)، ص ص. 250-254، 5ص.
الناشر
تاريخ النشر
2010-09-30
دولة النشر
العراق
عدد الصفحات
5
التخصصات الرئيسية
الموضوعات
الملخص EN
Background : Diabetes mellitus is a well known risk factor for acute coronary syndrome but the hypothesis that patients with acute phase hyperglycemia, regardless the previous diagnosis of diabetes, have worse prognosis than those with normal glucose values is controversial.
This paper aims to estimate the prevalence of admission hyperglycemia, its effect on in-hospital prognosis of diabetic and non-diabetic patients with acute coronary syndrome, and to compare it with 2nd day fasting plasma glucose as a prognostic marker.
Methods : One hundred patients, (59) diabetic and (41) non-diabetic, with documented acute coronary syndrome enrolled in this study over the period of June / 2009-Jan.
/ 2010 from coronary care unit of Baghdad Teaching Hospital, who were thoroughly examined, hyperglycemia documented on admission and next day, then followed up daily during hospitalization for development of complications or death.
Results : Heart failure and recurrent cardiac ischemic events were significantly more common in diabetic than non-diabetic patients (P-value : 0.04 for both),while arrhythmias, cardiogenic shock and mortality rate were not significantly different between both study groups.
Admission hyperglycemia more than 200mg / dl was associated with higher incidence of cardiogenic shock, recurrent ischemic events, heart failure, and death in non-diabetic patients (P-value 0.009, 0.022, 0.025, 0.026 respectively) but no more arrhythmias, and in diabetic patients admission hyperglycemia was only associated with more recurrent ischemic events (P-value 0.017).
Second day fasting plasma glucose more than 126mg / dl was associated with higher incidence of heart failure in non-diabetic patients and more recurrent ischemic events in both study groups.
Conclusion : Admission hyperglycemia is a poor in-hospital prognostic marker in non-diabetic and to lesser extend in diabetic patients suffering acute coronary syndrome.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Oraha, Amir A.& al-Rabii, Salim M.. 2010. Prognostic implications of admission hyperglycemia for in hospital morbidity and mortality in acute coronary syndrome. Journal of the Faculty of Medicine Baghdad،Vol. 52, no. 3, pp.250-254.
https://search.emarefa.net/detail/BIM-335915
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Oraha, Amir A.& al-Rabii, Salim M.. Prognostic implications of admission hyperglycemia for in hospital morbidity and mortality in acute coronary syndrome. Journal of the Faculty of Medicine Baghdad Vol. 52, no. 3 (2010), pp.250-254.
https://search.emarefa.net/detail/BIM-335915
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Oraha, Amir A.& al-Rabii, Salim M.. Prognostic implications of admission hyperglycemia for in hospital morbidity and mortality in acute coronary syndrome. Journal of the Faculty of Medicine Baghdad. 2010. Vol. 52, no. 3, pp.250-254.
https://search.emarefa.net/detail/BIM-335915
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 253-254
رقم السجل
BIM-335915
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر