Prognostic Value of Acute Hyperglycaemia in Non-Diabetic Acute Myocardial Infarction Patients
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 7
Abstract
In recent years, much attention has been given to the evidence that the concomitant occurrence of hyperglycaemia in patients admitted to intensive care units with an acute myocardial infarction (AMI) enhances the risk of mortality and morbidity, whether the patient was diagnosed with having diabetes or not.1 In some cases, the elevation of glucose levels could simply be a marker of preexisting, but not yet detected, type 2 diabetes or impaired glucose tolerance (IGT).2 This may mean that besides being causal, elevated glucose also could be a marker of existing insulin resistance and/or beta-cell failure that may contribute to the poor prognosis through other mechanisms. However, a positive association between hyperglycaemia at the time of the event and subsequent mortality from AMI has frequently been reported.3,4,5,6 A strong correlation between glycaemia and shock or development of heart failure has also been reported.7 Consequently, understanding the possible mechanisms through which hyperglycaemia worsens the prognosis of AMI, as well the effectiveness of its control during AMI, seems to be of great relevance.
Authors and Affiliations
Dr Nishant Sunakarineni
Keywords
Related Articles
- EP ID EP213853
- DOI -
- Views 53
- Downloads 0
Updated Study of the Aetiopathogenesis and Clinical Management of Mastalgia
Introduction: Breast pain or Mastalgia is a common and disturbing clinical disorder in females. Due to the complex and multiple aetiological factors, and different modalities of treatment, it poses a challenging problem...
Role and Assessment of Outcome of Decompressive Craniectomy in Malignant Middle Cerebral Artery Infarction in Patients: A Hospital Based Retrospective Study
Objective: Malignant middle cerebral artery (MCA) infarction is characterized by mortality rate of up to 80%. Aim: To determine the role of decompressive craniectomy in patients presenting malignant MCA infarction ant to...
Cytological Diagnosis of Metastasis from Plasma Cell Myeloma Presented As Forehead Swellings- An Unusual Case Report
Multiple myeloma is a disease resulting from clonal proliferation of plasma cells. It often presents with bone pain, lytic bone lesions; spinal cord compression and peripheral neuropathy are less common presenting sympto...
A Prospective Study on the Incidence of Malignancy in Multi-Nodular Goitre at a Tertiary Care Academic Hospital
Multinodular goiter (MNG) is a clinicopathological entity characterized by an increased volume of the thyroid gland with formation of nodules. In general, MNG has been considered to be at low risk for malignancy as compa...
A Study of Comparison of Lung Function Test between Male and Female Young Adults
The lung function tests are broad range of tests that provide an assessment of the respiratory system in terms of its function. There are a few variables such as age, gender and body size which have impact on the lung fu...