Objective: Acute myocardial infarction (AMI) is one of the leading causes of death in industrialized countries. Hyperglycaemia and impaired glucose tolerance are common during AMI. We aimed to investigate the effect of stress (acute) hyperglycemia in patients with AMI who had not previously diagnosed with diabetes mellitus (DM) in terms of mortality in our study
Materials and Methods: We retrospectively reviewed 307 patients with acute coronary syndrome (ACS) who were admitted to Batman Regional State Hospital Emergency Department between January 1, 2014 and January 1, 2018. Stress hyperglycaemia was considered present in patients with no DM history with a blood glucose level> 140 mg / dL or who had a HbA1c value <6.5 in the last three months.
Results: Of the 307 patients in our study, 211 (68%) were male and 96 (32%) were female. Stress hyperglycemia was detected in 141 (45.9%) of the patientsstudied. It was found that 69% of patients with stress-related hyperglycemia had STEMI and 31% had NSTEMI. We found that the rate of STEMI detection in patients with stress hyperglycemia was statistically significantly higher than that of NSTEMI (p <0.001). We found a significant relationship between the duration of hospital stay and hyperglycemia when compared with the duration of hospitalization with stress hyperglycaemia (p = 0.01). In total, 24 patients (7.8%) died. Stress hyperglycaemia was present in 66.1% of patients with exclusion, whereas 33.9% of patients had no stress hyperglycemia. We found a statistically significant relationship between exclusion patients and stress hyperglycaemia (p = 0.002).
Conclusion: We found a significant association between stress hyperglycaemia and mortality and duration of hospital stay in patients with AMI in our study. We believe that prognosis and mortality can be predicted with AMI patients' blood sugar level at the time of admission.