بررسي ارتباط بين هيپرگليسمي بدو ورود و مورتاليتي در بيماران غيرديابتي مبتلا به انفاركتوس حاد ميوكارد

RELATION BETWEEN ADMISSION BLOOD GLUCOSE LEVELS AND IN-HOSPITAL AND ONE YEAR MORTALITY IN NON-DIABETIC ACUTE MYOCARDIAL INFARCTION PATIENTS

Introduction: Several studies have evaluated the association of admission blood glucose levels and short and long term mortality after myocardial infarction and have had different results. The aim of this study was evaluation of association between admission blood glucose levels and in-hospital and one year mortality in non-diabetic patients with AMI. Methods: In this study, demographic, clinical and Para clinical data of 120 non-diabetic patients with AM1 on admission was collected and analyzed. The patients were followed for one year. Blood glucose level > 140 mg/dl was defined as hyperglycemia. Results: 78% of patients were men. The mean age and admission blood glucose level was 63+13 years and 146+76mg/dl, respectively. Death due to cardio vascular causes was seen in 20% of patients in hospital and 9.8% during the one year follow up. The mean admission blood glucose level in patients who died in hospital was significantly more than live patients and also had an influence on the in-hospital outcome. Every 100mg/dl increase in blood glucose level was associated with 11% increase in in-hospital mortality risk in non-diabetic patients. Conclusion: Our results demonstrate that admission blood glucose level is a good marker for diagnosing patients with worse prognosis after AMI. We suggest that later studies should focus on optimal control of hyperglycemia with insulin in patients with AMI.