Stress hyperglycemia and coronary artery disease in patients with acute myocardial infarction

B.Sasi Kumar; M.Shobana; P.Arunachalam

Volume : V, Issue : IV, April - 2016

Stress hyperglycemia and coronary artery disease in patients with acute myocardial infarction

B. Sasi Kumar, M. Shobana, P. Arunachalam

Abstract :

 Aim: The aim of this study was to assess the incidence of stress hyperglycemia in patients with acute myocardial infarction (AMI) in non diabetic patients and to compare the severity of coronary artery disease in patients with stress hyperglycemia to those with normal glucose tolerance and those known to have diabetes mellitus (DM) in the setting of AMI. . Design/Methods: A total of 144 patients both diabetics and non diabetics were studied. of these, 61 patients were being treated for diabetics, the remaining 83 patients were classified based on the results of 75gm oral glucose tolerance test before discharge in to normal glucose tolerance (NGT) (n=36) and stress hyperglycemia SH (n=36) . Results: In 33.8 % patients with stress hyperglycemia, 54.1 % diabetic patients and 12.2 % patients with normal glucose tolerance had multi vessel disease with significant P value of <.001 Conclusions: We conclude that stress hyperglycemia is common in AMI in non diabetic patients and also suggests that the severe coronary artery disease is present not only in the diabetes group but also in the stress hyperglycemia group.