Abstract | BACKGROUND AND OBJECTIVE: METHOD: 89 patients who were hospitalized in the coronary intensive care unit with diagnosis of ACS between January 2010 and June 2010 were enrolled in the study. The patients were separated into 2 groups as having stress hypergly-cemia or not, according to their blood glucose levels on admission. TIMI and GRACE risk scores were obtained and GENSINI scoring was performed to assess CAD extent for all the patients. Major adverse cardiac events ( MACE) (death, MI, re-revascularization, stroke) were recorded for all patients while in the hospital and at 1st and 6th months. RESULTS: In our study, MACE, GENSINI scores at 6 months and development of in-hospital arrhythmia rates were statistically significantly higher and left ventricular ejection fractions were statistically significantly lower in the group with SH. The association of TIMI, GRACE, GENSINI, New York Heart Association (NYHA) and Killip classifications with blood glucose, fasting blood glucose and HbA1c on admission was confirmed. CONCLUSION: Prognostic course happens to be worse and CAD is more extensive in patients with SH. In addition, blood glucose values may have to be estimated lower compared to the samples in the literature, in order to diagnose SH.
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Authors | H Ayhan, T Durmaz, T Keleş, N A Bayram, E Bilen, M Akçay, R Ersoy, E Bozkurt |
Journal | Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association
(Exp Clin Endocrinol Diabetes)
Vol. 122
Issue 4
Pg. 222-6
(Apr 2014)
ISSN: 1439-3646 [Electronic] Germany |
PMID | 24771010
(Publication Type: Journal Article)
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Copyright | © J. A. Barth Verlag in Georg Thieme Verlag KG Stuttgart · New York. |
Chemical References |
- Blood Glucose
- Glycated Hemoglobin A
- Troponin I
- C-Reactive Protein
- Creatine Kinase
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Topics |
- Acute Coronary Syndrome
(blood, complications)
- Aged
- Blood Glucose
(metabolism)
- C-Reactive Protein
(metabolism)
- Creatine Kinase
(blood)
- Female
- Glycated Hemoglobin
(analysis)
- Humans
- Hyperglycemia
(blood, complications)
- Male
- Middle Aged
- Prospective Studies
- Statistics, Nonparametric
- Stress, Physiological
(physiology)
- Troponin I
(blood)
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