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Abstract
Background: Acute hyperglycemia on admission is common in acute myocardial infarction (AMI) patients regardless of diabetic status, and is known as one of prognostic factors. However there is limited evidence on the effect of acute hyperglycemia on non-diabetic patients. Our goal is to assess if admission hyperglycemia increases the risk for in-hospital adverse clinical events and mortality after AMI in nondiabetic patients.
Methods: We perform this cross-sectional study involving 128 AMI patients admitted to the Cardiovascular Emergency and Interventional Department at Hue Central Hospital between April 2017 and July 2018. We categorize patients according to their glucose levels at admission (<7,8; 7,8–11,0 and ≥11,1 mmol/L) and compare inhospital adverse clinical events and mortality across these admission glucose categories. We employ logistic regression to assess the differences in outcomes across admission glucose levels while adjusting for the same covariates.
Results: As compared to patients with admission glucose <7,8 mmol/L (70,3%), patients with admission glucose 7,8-11,0 mmol/L (23,4%, odds ratio OR = 2,09; 95% confidence interval CI [0,65-6,77]) and >11,1 mmol/L (6,3%, OR = 7,56; 95% CI [1,29-44,28]) are at elevated in-hospital adverse clinical events after adjustment for patients’ demographic characteristics and clinical status. Among non-diabetic patients with admission glucose 7,8-11,0 mmol/L (OR = 1,46; 95% CI [0,34-6,37]) and >11,1 mmol/L (OR = 7,82; 95% CI [1,39-43,90]) remain elevated risk for adjusted in-hospital mortality. In the multivariate analysis, an increment of 1 mmol/L in blood glucose on admission is associated with an increase in in-hospital adverse clinical events and mortality risk of 41% and 26%, respectively.
Conclusions: These findings underscore clinical significance of admission hyperglycemia on in-hospital adverse clinical events and mortality in non-diabetic AMI patients.
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| Published | 07-01-2025 | |
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| Issue | No. 67 (2021) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.2021.67.5 | |
| Keywords | Nhồi máu cơ tim cấp, Glucose máu nhập viện, Không đái tháo đường, Các biến chứng tim mạch, Tử vong Acute Myocardial Infarction, Admission glucose, Non-diabetic, Adverse clinical events, Mortality |
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