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A Comparative Study of the Outcome of Hyperglyceamia and Normoglycaemia in Patients with ST-Segment Elevation Acute Myocardial Infarction

Received: 6 September 2021    Accepted: 24 January 2022    Published: 29 July 2022
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Abstract

Introduction: Acute myocardial infarction (AMI) is an important cause of acute emergencies and is on the rise in the developing countries like Bangladesh. Patients with hyperglyceamia are at more risk than non-diabetic patients. Hyperglyceamia is pre-diabetic state. Aim of the study: The aim of this study was to compare the outcome of hyperglyceamia and normoglycaemia in patients with ST-segment elevation Acute Myocardial Infarction. Methods: This prospective prognostic cohort research was conducted at the Department of Cardiology, NICVD, Dhaka from July 2010 to June 2011. Total 200 study populations were selected from the ST- segment elevation Acute Myocardial Infarction patients with or without history of DM. Result: In this study, number of patients improvement in group-1 was significantly (p < 0.01) higher 90 (90%), in group-2 was 73 (73%). But death (p<0.01) was more 27 (27%) in group-2 and in group-1 was 10 (10%). The number of patients developed morbidity like (Cardiogenic shock, Congestive cardiac failure, hypotension, Thromboembolism and arrhythmia) were less in group-1 (44%) but more common in group-2 (70%). The result was statistically very significant (p < 0.01). Number of patients improvement in group-1 was significantly (p < 0.001) higher 90 (90%) than in group II-A 31 (62%). But death (p < 0.001) was more 19 (38%) in group-2A than in group-1 10 (10%). The number of patients developed morbidity like (Cardiogenic shock, Congestive cardiac failure, hypotension, Thromboembolism and arrhythmia) were 44 (44%) in group-1 and 30 (60%). There was no statistical significance. Conclusion: There is difference in the in-hospital outcome of hyperglyceamia and normoglycaemia in patients with ST-segment elevation Acute Myocardial Infarction. Improvement and morbidity were higher in the normoglycaemia patients than hyperglyceamia patients and death rate is higher is the hyperglyceamia patients. But there is no difference in normoglycaemia and diabetic hyperglyceamia patients.

Published in American Journal of Biomedical and Life Sciences (Volume 10, Issue 4)
DOI 10.11648/j.ajbls.20221004.14
Page(s) 119-124
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Hayperglycemia, Normoglycaemia, STEMI, Diabetic

References
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    Musammat Sufia Akhter, Mirza Abdul Kalam Mohiuddin, Shamshad Khan, Ratul Sakaobe Shefa, Ayesha Mubashsbira Labiba. (2022). A Comparative Study of the Outcome of Hyperglyceamia and Normoglycaemia in Patients with ST-Segment Elevation Acute Myocardial Infarction. American Journal of Biomedical and Life Sciences, 10(4), 119-124. https://doi.org/10.11648/j.ajbls.20221004.14

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    ACS Style

    Musammat Sufia Akhter; Mirza Abdul Kalam Mohiuddin; Shamshad Khan; Ratul Sakaobe Shefa; Ayesha Mubashsbira Labiba. A Comparative Study of the Outcome of Hyperglyceamia and Normoglycaemia in Patients with ST-Segment Elevation Acute Myocardial Infarction. Am. J. Biomed. Life Sci. 2022, 10(4), 119-124. doi: 10.11648/j.ajbls.20221004.14

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    AMA Style

    Musammat Sufia Akhter, Mirza Abdul Kalam Mohiuddin, Shamshad Khan, Ratul Sakaobe Shefa, Ayesha Mubashsbira Labiba. A Comparative Study of the Outcome of Hyperglyceamia and Normoglycaemia in Patients with ST-Segment Elevation Acute Myocardial Infarction. Am J Biomed Life Sci. 2022;10(4):119-124. doi: 10.11648/j.ajbls.20221004.14

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  • @article{10.11648/j.ajbls.20221004.14,
      author = {Musammat Sufia Akhter and Mirza Abdul Kalam Mohiuddin and Shamshad Khan and Ratul Sakaobe Shefa and Ayesha Mubashsbira Labiba},
      title = {A Comparative Study of the Outcome of Hyperglyceamia and Normoglycaemia in Patients with ST-Segment Elevation Acute Myocardial Infarction},
      journal = {American Journal of Biomedical and Life Sciences},
      volume = {10},
      number = {4},
      pages = {119-124},
      doi = {10.11648/j.ajbls.20221004.14},
      url = {https://doi.org/10.11648/j.ajbls.20221004.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajbls.20221004.14},
      abstract = {Introduction: Acute myocardial infarction (AMI) is an important cause of acute emergencies and is on the rise in the developing countries like Bangladesh. Patients with hyperglyceamia are at more risk than non-diabetic patients. Hyperglyceamia is pre-diabetic state. Aim of the study: The aim of this study was to compare the outcome of hyperglyceamia and normoglycaemia in patients with ST-segment elevation Acute Myocardial Infarction. Methods: This prospective prognostic cohort research was conducted at the Department of Cardiology, NICVD, Dhaka from July 2010 to June 2011. Total 200 study populations were selected from the ST- segment elevation Acute Myocardial Infarction patients with or without history of DM. Result: In this study, number of patients improvement in group-1 was significantly (p Conclusion: There is difference in the in-hospital outcome of hyperglyceamia and normoglycaemia in patients with ST-segment elevation Acute Myocardial Infarction. Improvement and morbidity were higher in the normoglycaemia patients than hyperglyceamia patients and death rate is higher is the hyperglyceamia patients. But there is no difference in normoglycaemia and diabetic hyperglyceamia patients.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - A Comparative Study of the Outcome of Hyperglyceamia and Normoglycaemia in Patients with ST-Segment Elevation Acute Myocardial Infarction
    AU  - Musammat Sufia Akhter
    AU  - Mirza Abdul Kalam Mohiuddin
    AU  - Shamshad Khan
    AU  - Ratul Sakaobe Shefa
    AU  - Ayesha Mubashsbira Labiba
    Y1  - 2022/07/29
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ajbls.20221004.14
    DO  - 10.11648/j.ajbls.20221004.14
    T2  - American Journal of Biomedical and Life Sciences
    JF  - American Journal of Biomedical and Life Sciences
    JO  - American Journal of Biomedical and Life Sciences
    SP  - 119
    EP  - 124
    PB  - Science Publishing Group
    SN  - 2330-880X
    UR  - https://doi.org/10.11648/j.ajbls.20221004.14
    AB  - Introduction: Acute myocardial infarction (AMI) is an important cause of acute emergencies and is on the rise in the developing countries like Bangladesh. Patients with hyperglyceamia are at more risk than non-diabetic patients. Hyperglyceamia is pre-diabetic state. Aim of the study: The aim of this study was to compare the outcome of hyperglyceamia and normoglycaemia in patients with ST-segment elevation Acute Myocardial Infarction. Methods: This prospective prognostic cohort research was conducted at the Department of Cardiology, NICVD, Dhaka from July 2010 to June 2011. Total 200 study populations were selected from the ST- segment elevation Acute Myocardial Infarction patients with or without history of DM. Result: In this study, number of patients improvement in group-1 was significantly (p Conclusion: There is difference in the in-hospital outcome of hyperglyceamia and normoglycaemia in patients with ST-segment elevation Acute Myocardial Infarction. Improvement and morbidity were higher in the normoglycaemia patients than hyperglyceamia patients and death rate is higher is the hyperglyceamia patients. But there is no difference in normoglycaemia and diabetic hyperglyceamia patients.
    VL  - 10
    IS  - 4
    ER  - 

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Author Information
  • Department of Cardiology, National Institute of Cardiovascular Disease, Dhaka, Bangladesh

  • Department of Cardiac Surgery, United Hospital Ltd., Dhaka, Bangladesh

  • Blackpool Jeachiay Hospital, NHS Foundation Trust, Dhaka, Bangladesh

  • Ibne Sina Medical College, Dhaka, Bangladesh

  • Ibne Sina Medical College, Dhaka, Bangladesh

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