Prevalence of diabetes and stress hyperglycemia in acute myocardial infarction: analysis in an emergency department
DOI:
https://doi.org/10.54143/jbmede.v2i1.31Keywords:
Hiperglicemia, Estresse Fisiológico, Diabetes MellitusAbstract
Introduction: Hyperglycemia in acute myocardial infarction (AMI) is related to higher rates of mortality and in-hospital complications. It occurs in patients diagnosed with diabetes mellitus (DM) and in patients with stress hyperglycemia (HE), which is a transient increase in blood glucose in acute situations in non-diabetic individuals. Objective: To determine the prevalence of DM and HE in AMI and their characteristics in an emergency service in southern Santa Catarina. Methodology: Cross-sectional study. Data collected from electronic medical records of patients admitted by the Unified Health System for a first episode of AMI at Hospital Nossa Senhora da Conceição, from 2018 to 2020. Excluded were those who did not have a record of blood glucose at hospital admission. Results: 132 records were arranged. The most frequent comorbidities were: SAH (62.9%), smoking (36.4%) and DM (30.3%). The prevalence of hospital hyperglycemia was 40.1% and that of HE was 19.7%. The mortality of patients with hospital hyperglycemia was 20.8% and with HE 23.1%. The associations of death versus hospital hyperglycemia and HE were significant (p = 0.003 and p = 0.032, respectively). The occurrence of complications was statistically higher among DM, HE and hyperglycemia. Conclusion: Hyperglycemia affects most patients with AMI both in diabetic patients and in non-diabetic patients. It is an important predictor of morbidity and mortality in patients.
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