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ZJRMS 2009, 11(1): 0-0 Back to browse issues page
Study of Correlation between Stress Hyperglycemia and Short Term Prognostic in non Diabetic Acute Myocardial Infarction Patients
Amirhossein Rafighdoust , Gholamreza Komeili , Abdolali Rakhshani
Abstract:   (9802 Views)

Background: Abnormal hyperglycemia is a common finding in early phase of acute myocardial infarction that is named as stress or primary hyperglycemia. In this study we have evaluated primary blood sugar of the time of admission in non diabetic patients with acute myocardial infarction to compare the early complications between patients with high or normal blood sugar. We aimed to find out a relation between primary blood sugar and post MI complication rate.

Method and material: one hundred non diabetic patients with acute myocardial infarction who were referred to heart emergency ward of Imam Reza hospital (Mashhad, Iran) were included and divided in two groups according to primary blood glucose level (blood glucose less or more than 126 mg/dl, 50 patients in each groups). They were evaluated during hospitalization, daily clinical exams, laboratory tests, and routine non invasive assessments were done. The results were analyzed by spss soft ware and the level of signification difference was described as p<0.05.

Results : Sinus tachycardia, atrial fibrillation, bundle branch block, ventricular extra systole, prolonged PR interval and heart failure according to klip classification and also according to echo cardio graphic index (EF<50) were statistically significant more common in hyperglycemic patients (P<0.05). Thromboembolic and mechanical complications (papillary muscle dysfunction), pericarditis phlebitis and angina were also more common in hyperglycemic group although the differences were not significant statistically.

Conclusion: It seems that most of early complication rate in non diabetic patients with acute myocardial infarction is directly related with primary hyperglycemia (stress hyperglycemia).

Keywords: Keywords: primary blood sugar- stress hyperglycemia- acute myocardial infarction
Full-Text [PDF 858 kb]   (1800 Downloads)    
Type of Study: Research | Subject: Oncology
* Corresponding Author Address: MD, Dept of Internal diseases, Faculty of Medicine, Zahedan University of Medical Sciences and Health Services, Zahedan, Iran
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Rafighdoust A, Komeili G, Rakhshani A. Study of Correlation between Stress Hyperglycemia and Short Term Prognostic in non Diabetic Acute Myocardial Infarction Patients . ZJRMS. 2009; 11 (1)
URL: http://zjrms.ir/article-1-437-en.html


Volume 11, Issue 1 (Mar 2009) Back to browse issues page
Zahedan Journal of Research in Medical Sciences
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