Prognostic Value of Stress Hyperglycemia for In-Hospital Outcome in Acute Coronary Artery Disease

Pinheiro, Carlos Passos; Oliveira, Marcos Danillo Peixoto; Faro, Gustavo Baptista de Almeida; Silva, Esdras Correa; Rocha, Eduardo Augusto Andrade da; Barreto-Filho, José Augusto Soares; Oliveira, Joselina Luzia Menezes; Sousa, Antônio Carlos Sobral

doi:10.5935/abc.20130025

Cited by 17 publications

(16 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The mean age in the study performed by Rafael et al on 834 patients was 64 ±13 (25-94) [14]. In another study, the mean age was 63.3 ±13.8 [15]. The average age in our study was close to the literature.…”

Section: Discussionsupporting

confidence: 83%

Does stress hyperglycemia affect mortality? Acute myocardial infarction – case control study

Cinar

Avcı

Gülen

et al. 2019

Arch Med Sci Atheroscler Dis

View full text Add to dashboard Cite

Introduction: We aimed to investigate the effect of stress (acute) hyperglycemia in patients with acute coronary syndrome who had not been previously diagnosed with diabetes mellitus (DM) on the prognosis of the disease in terms of mortality. Material and methods: Patients who were admitted to the Adana Numune Training and Research Hospital Emergency Service Clinic between August 2010 and August 2013 and whose plasma blood glucose level was over 140 mg/dl at the time of admission but were not previously diagnosed with DM, who were over the age of 18 and considered to have acute myocardial infarction were included. Results: A total of 259 patients whose data were fully attainable were included in the study. 80.3% (n = 208) of the patients were male and 19.7% (n = 41) were female. Non-ST elevation myocardial infarction was found in 71.6%, ST elevation myocardial infarction was found in 28.4% of the patients with stress hyperglycemia. It was determined that 10.1% of patients with stress-related hyperglycemia and 1.3% of patients without stress-related hyperglycemia had died. Conclusions: The plasma blood glucose level at presentation of patients diagnosed with acute myocardial infarction at the emergency room is associated with early in-hospital mortality.

show abstract

Section: Discussionsupporting

confidence: 83%

Does stress hyperglycemia affect mortality? Acute myocardial infarction – case control study

Cinar

Avcı

Gülen

et al. 2019

Arch Med Sci Atheroscler Dis

View full text Add to dashboard Cite

show abstract

“…This hospital has received a Level 3 Accreditation (IQG - Instituto Qualisa de Gestão ) and is part of the SOLAR ( São Lucas Registro em SCA ) registry. 8 The estimated minimum sample size was 195 individuals and was based on the following parameters: two-tailed alpha = 0.05, power = 90%, probability of an event in the group with greater physical activity = 30%, odds ratio (OR) of the less active versus the more active group = 1.7. We increased in 10% the sample size due to a potential size reduction if some individuals decided to withdraw the research consent.…”

Section: Methodsmentioning

confidence: 99%

Level of Physical Activity and In-Hospital Course of Patients with Acute Coronary Syndrome

Jorge¹,

Santos²,

Filho³

et al. 2016

Arquivos Brasileiros De Cardiologia

Self Cite

View full text Add to dashboard Cite

BackgroundAcute coronary syndrome (ACS) is one of the main causes of morbidity and mortality in the modern world. A sedentary lifestyle, present in 85% of the Brazilian population, is considered a risk factor for the development of coronary artery disease. However, the correlation of a sedentary lifestyle with cardiovascular events (CVE) during hospitalization for ACS is not well established.ObjectiveTo evaluate the association between physical activity level, assessed with the International Physical Activity Questionnaire (IPAQ), with in-hospital prognosis in patients with ACS.MethodsObservational, cross-sectional, and analytical study with 215 subjects with a diagnosis of ACS consecutively admitted to a referral hospital for cardiac patients between July 2009 and February 2011. All volunteers answered the short version of the IPAQ and were observed for the occurrence of CVE during hospitalization with a standardized assessment conducted by the researcher and corroborated by data from medical records.ResultsThe patients were admitted with diagnoses of unstable angina (34.4%), acute myocardial infarction (AMI) without ST elevation (41.4%), and AMI with ST elevation (24.2%). According to the level of physical activity, the patients were classified as non-active (56.3%) and active (43.7%). A CVE occurred in 35.3% of the cohort. The occurrence of in-hospital complications was associated with the length of hospital stay (odds ratio [OR] = 1.15) and physical inactivity (OR = 2.54), and was independent of age, systolic blood pressure, and prior congestive heart failure.ConclusionA physically active lifestyle reduces the risk of CVE during hospitalization in patients with ACS.

show abstract

“…Diabetes, hypertension, cigarette smoking and high cholesterol (untreated or unregulated despite treatment) are considered predictors of poor outcome. A large number of authors believe that stress–hyperglycemia is an independent predictive factor for such complications after acute coronary artery disease in diabetics and non-diabetics ( 7 , 8 ).…”

Section: Discussionmentioning

confidence: 99%

Hypoglycemia in Non-diabetics During Development of Acute Coronary Ischemia

Novakovic¹,

Zukic²,

Gazibera

et al. 2015

Med Arh

View full text Add to dashboard Cite

Introduction:The occurrence of hyperglycemia in non-diabetics during development of acute coronary ischemia (ACI) indicates latent glucose metabolism disorder, or is a case of newly discovered diabetes mellitus (DM) as a result of stress. Acute coronary syndrome refers to a group of clinical syndromes caused by a sudden circulatory disorder in coronary arteries, resulting in the corresponding myocardial ischemia. It covers range from unstable angina and myocardial infarction (MI) without Q wave in the electrocardiogram finding (NSTEMI) up to myocardial infarction with Q wave in the electrocardiogram finding (STEMI).Goal:To determine the incidence of hyperglycemia in non-diabetics immediately after the occurrence of acute coronary ischemia and assess its risk factors.Results:The sample included 80 respondents. Men dominated with a total prevalence of 77.5%. The respondent was at mean age of 62.8±13.8 years. During the first measurement, immediately after hospital admission, 50% of respondents had increased blood glucose value and during the second measurement 62%. Hypertension as a risk factor has 54% and 56% smoking. The incidence of stress diabetes after ACI does not depend on the diagnosis of hypertension, χ2=0.050; p=0.823. The differences of mean values (median) BMI between examined persons with/without stress DM are not statistically significant p=0.402. Independent t-test showed that there was no statistically significant difference in the average values of HDL and LDL in patients with stress diabetes than in patients without diabetes stress after ACI p>0.05. For each year of age odds ratio for “stress diabetes” increases by 7% and 95% CI is 2% -12%.Conclusion:The incidence of stress diabetes ACI is not dependent on the working diagnosis (MI or angina pectoris). As risk factors we set hypertension and current smoking. There were no statistically significant associations between active smoking and hypertension as a risk factor in relation to occurrence of stress diabetes.

show abstract

Prognostic Value of Stress Hyperglycemia for In-Hospital Outcome in Acute Coronary Artery Disease

Cited by 17 publications

References 26 publications

Does stress hyperglycemia affect mortality? Acute myocardial infarction – case control study

Does stress hyperglycemia affect mortality? Acute myocardial infarction – case control study

Level of Physical Activity and In-Hospital Course of Patients with Acute Coronary Syndrome

Hypoglycemia in Non-diabetics During Development of Acute Coronary Ischemia

Contact Info

Product

Resources

About