A Study on the Correlation between Admission Day Glycemic Status and in - Hospital Outcome of Acute Coronary Syndrome in Diabetic and Non Diabetic Patients
Abstract: Context: In Acute coronary syndrome, admission hyperglycemia is associated with adverse cardiovascular events in diabetes and non - diabetic patients. Background: Type 2 Diabetes mellitus is on increasing trend globally and specially in India. Incidence of Coronary artery disease is higher in diabetics. Incidence of morbidity and mortality are higher in first few days following Acute Coronary Syndrome requiring hospitalisation. Hyperglycaemia on admission is a common observation in both diabetics and non diabetics. Admission hyperglycemia seems to be independent predictor of adverse outcome. Objective: To assess the prognosis of patients with acute coronary syndrome comparing admission blood sugar and HbA1c values. Method: The study group comprised of patients admitted in our ICU with acute coronary syndrome. The study included all patients who fulfilled the inclusion criteria irrespective of diabetic status. The study group included patients both known diabetics and patients who were not known diabetic. They were closely monitored during hospital stay. Result: The mean blood sugar, on admission, in diabetic patients was 246.94 mg/dL and in non diabetic patients was 192.58 mg/dL. The mean HbA1c level in diabetic patients was 7.36% and in non diabetic patients was 6.37%. In our study group 51% had STEMI, 32% had NSTEMI, and 17% had Unstable Angina. The mean RBS in the patients who recovered completely was 191.15 mg/dL, while in patients with poor outcome was 297.61 mg/dL. The mean HbA1c in patients recovered completely was 6.6% while in patients with poor outcome was 7.76%. In patients presented with high RBS and HbA1c, 45% had adverse cardiac events (ACE). In our study, in diabetic patients with RBS?140 mg/dL, total of 30 patients had ACE, while only 3 patients with RBS
Keywords: Diabetes; Acute Coronary Syndrome; HbA1c; Admission blood sugar; Adverse Cardiac Event
How to Cite?: Apoorva, N S Biradar, "A Study on the Correlation between Admission Day Glycemic Status and in - Hospital Outcome of Acute Coronary Syndrome in Diabetic and Non Diabetic Patients", Volume 12 Issue 8, August 2023, International Journal of Science and Research (IJSR), Pages: 1291-1295, https://www.ijsr.net/getabstract.php?paperid=SR23811111533, DOI: https://dx.doi.org/10.21275/SR23811111533