KHOẢNG TRỐNG ĐƯỜNG HUYẾT VÀ KẾT CỤC NỘI VIỆN Ở NGƯỜI BỆNH NHỒI MÁU CƠ TIM CẤP CÓ ĐÁI THÁO ĐƯỜNG

Abstract

Background: Acute hyperglycemia is a frequent finding in patients with acute myocardial infarction (AMI). The relationship between acute hyperglycemia and inhospital outcomes in diabetic patients with AMI still remains controversial. A glycemic gap is used as a new parameter to evaluate the association between acute hyperglycemia and inhospital clinical outcome in diabetic patients presenting with AMI. Objective: To study the relationship between glycemic gap and the occurence of inhospital clinical outcome in diabetic patients with AMI. Subjects and research methods: An observational cross-sectional study was prospectively conducted on 100 diabetic patients with AMI at the Interventional cardiology Department of Cho Ray hospital from March to September 2022. Results: The mean value of age was 65.6 ± 11.2 years. The sample included 46 males (46%) and 54 females (54%), the male:female ratio was 0.85:1. The median value of glycemic gap was 52.2 mg/dL (IQR: 39.0-94.4). Patients with major cardiac events and all-cause death had significantly higher glycemic gaps than patients without major cardiac events and survivors (p value respectively was p<0,001 and p<0,001). Conclusion: Glycemic gap should be considered as an additional parameter to an admission serum glucose level to evaluate the impact of stress-induced hyperglycemia on inhospital clinical outcomes in diabetic patients with AMI.