Assessment of stress hyperglycemia in acute coronary syndrome cases

Abstract

Background: In acute coronary syndrome (ACS), admission hyperglycemia is associated with adverse cardiovascular events in patients. Objective: To assess the prognostic value of stress hyperglycemia for the in-hospital outcome of patients admitted due to ACS. Methods: This study was conducted on 100 patients admitted with Acute Myocardial Infarction in a tertiary care hospital. Patients were categorized according to their blood sugar level stress hyperglycemia present and absent. Results: 64% of the patients were diagnosed with non-ST-elevation myocardial infarction NSTEMI and 36% were diagnosed with STEMI. Lesions most frequently (84.9%) in the left anterior descending artery (LAD) followed by right coronary artery 65% followed by Circumflex artery (54%) followed by Left Main Coronary Artery (3%). Death in stress hyperglycemia group was four times that of those who were not having hyperglycemia. Conclusion: Stress hyperglycemia is an independent predictive factor for in-hospital complications after ACS. The results highlight the need to assess admission blood glucose concentration in all patients admitted due to ACS, including nondiabetic ones, aiming at identifying those at higher risk for complications.