Stress hyperglycemia in acute myocardial infarction

Koraćević, Goran; Vasiljevic, Sladjana; Veličković‐Radovanović, Radmila; Sakač, Dejan; Obradović, Slobodan; Damjanović, Miodrag; Krstić, Nebojša; Zdravković, Marija; Kostić, Tomislav

doi:10.2298/vsp121103017k

Cited by 17 publications

(11 citation statements)

References 143 publications

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“…Sim et al 13 reported that physical and emotional stress increases blood glucose level via activation of both the adrenergic and glucocorticoid systems. Koraćević et al 22 reported that increased glucose levels during the stress might be a result of sympathetic nervous system activation, which raises the production of catecholamines that stimulate processes of glyconeogenesis, glycogenolysis, and liposysis. In addition, infection itself can be a cause of hyperglycemia.…”

Section: Discussionmentioning

confidence: 99%

Analysis of glycosylated hemoglobin (HbA1c) level on maxillofacial fascial space infection in diabetic patients

Jang

Kim

2015

J Korean Assoc Oral Maxillofac Surg

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ObjectivesThis study was performed to evaluate the impact of glycosylated hemoglobin (HbA1c) level on characteristics and prognosis of maxillofacial fascial infection in diabetic patients.Materials and MethodsWe reviewed the medical records of 72 patients (35 patients with HbA1c lower than 7.0% and 37 patients with HbA1c higher than 7.0%) diagnosed with maxillofacial fascial space infection and hospitalized for treatment at the Department of Oral and Maxillofacial Surgery in Dankook University Hospital (Cheonan, Korea) from January 2005 to February 2014. We compared demographics, parameters of glucoregulation (HbA1c), laboratory parameters of inflammation (white blood cell [WBC], C-reactive protein [CRP] count), type and number of involved spaces, type and number of antibiotics, period of hospitalization, number of surgical operations, need for tracheostomy, complications, computed tomography (CT), and microorganisms between the two groups.ResultsCompared with the well-controlled diabetes mellitus (DM) group (HbA1c <7.0%), patients in the poorly-controlled (HbA1c ≥7.0%) DM group had the following characteristics: longer hospitalization periods, higher values of laboratory parameters of inflammation (WBC, CRP count) at the time of admission, higher number of antibiotics prescribed, more frequent complications, frequent deep neck space involvement, and distinctive main causative microorganisms. As the HbA1c level increases, hospitalization periods and incidence of complications increase gradually.ConclusionThis retrospective study suggests that regulation of DM significantly impacts maxillofacial fascial infection. Poorly controlled DM with high HbA1c level negatively influences the prognosis of infection.

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Section: Discussionmentioning

confidence: 99%

Analysis of glycosylated hemoglobin (HbA1c) level on maxillofacial fascial space infection in diabetic patients

Jang

Kim

2015

J Korean Assoc Oral Maxillofac Surg

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“…In acute myocardial infraction (AMI), stress hyperglycemia commonly occurs secondary to increased catecholamine levels, so looking only at plasma glucose levels at the time of an AMI cannot predict the prognosis [ 5 ]. Glycosylated hemoglobin A1c (HbA1c) is a measure of the average blood glucose levels over 2 months [ 6 ] and is minimally affected by acute hyperglycemia often observed in myocardial infarction (MI).…”

Section: Introductionmentioning

confidence: 99%

Impact of Admission Glycosylated Hemoglobin A1c on Angiographic Characteristics and Short Term Clinical Outcomes of Nondiabetic Patients with Acute ST-Segment Elevation Myocardial Infarction

Elsherbiny

Nabil

Saber

et al. 2015

Cardiology Research and Practice

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We aimed to assess the predictive value of admission HbA1c level in nondiabetic patients presented by acute STEMI, on outcome of PCI and short term outcome of adverse cardiac events. Methods. 60 nondiabetic patients were admitted to Cardiology Department, Zagazig University Hospital, with acute STMI: 27 patients with HbA1c levels of 4.5% to 6.4% (group 1), 17 patients with HbA1c levels of 6.5% to 8.5% (group 2), and 16 patients with HbA1c levels higher than 8.5% (group 3). Either invasive intervention was done at admission by (pPCI) or coronary angiography was done within month (3–28 days) from taking thrombolytic. Participants were followed up for 6 months. Results. There was significant difference among different groups of HbA1c as regards the number of diseased vessels, severity of CAD lesions (p value < 0.01), and TIMI flow grades (p value < 0.05). There was significant difference among different groups as regards the adverse cardiac events on short term follow-up period (p value < 0.05). Conclusion. The present study showed that admission higher HbA1c level in patients presented by acute STEMI is associated with more severe CAD, lower rate of complete revascularization, and higher incidence of adverse cardiac events.

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“…It is particularly true for the DM patients, because they are less represented in AMI, so that their cut-off value for SH is more remote from the artificial single cut-off of the whole AMI group 30 . Hyperglycemia is common, valid both for risk stratification and treatment initiation and adjustments, but is often the underestimated parameter in critical illnesses, including AMI 31 . The importance of hyperglycemia in AMI stems from two facts: AMI is one of the most common lethal diseases and glycemia is undoubtely one of the basic parameters in general and in AMI 17 .…”

Section: Some Frequent Mistakes In Categorizing Dm and Stress Hyperglmentioning

confidence: 99%

Four varieties of diabetes mellitus in acute myocardial infarction

et al. 2019

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Stress hyperglycemia in acute myocardial infarction

Abstract: nema

Cited by 17 publications

References 143 publications

Analysis of glycosylated hemoglobin (HbA1c) level on maxillofacial fascial space infection in diabetic patients

Analysis of glycosylated hemoglobin (HbA1c) level on maxillofacial fascial space infection in diabetic patients

Impact of Admission Glycosylated Hemoglobin A1c on Angiographic Characteristics and Short Term Clinical Outcomes of Nondiabetic Patients with Acute ST-Segment Elevation Myocardial Infarction

Four varieties of diabetes mellitus in acute myocardial infarction

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