PROGNOSTIC VALUE OF BLOOD GLUCOSE LEVELS IN DIABETIC PATIENTS UPON ADMISSION AND ITS OUTCOMES IN PATIENTS WITH ACUTE CORONARY SYNDROME

1) Department of Emergency, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

2) Internal Medicine Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

3) Cardiology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

Disclosure: The author has declared no conflicts of interest.

Received: 23.03.16 Accepted: 04.05.16

Citation: 10.5455/ijsm.acs

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Abstract:

Background: Coronary heart disease (CHD) is the main leading cause of morbidity and mortality in patients with diabetes mellitus. Hyperglycemia on admission was associated with a worse outcome for all patients admitted with ACS.
Aim: To correlate the relationship between hyperglycemia with acute coronary syndrome and poor outcome.
Methodology: Clinical evaluation of the patients were carried out on arrival to Emergency Department regarding: Initial assessment of patient general condition either stable or not through; ABCDE (air way and cervical spine control, breathing, circulation, neurological dysfunction and exposure). Then determine the characters and types of chest pain. Assess the condition of the patients either stable or unstable which will determine the needed investigations and plane of management.
Results: the mortality was higher in patients with RBG more than 300 mg/dl (68.4 %), (10.5 %) of the patients had ranged from 250 ─ < 300 mg/dl, and the patients had ranged from 200 ─ < 250 mg/dl were (10.5 %). The patients had ranged from 160 ─ < 200 mg/dl were (5.3) and there were (5.3) of the patients had ranged from 70 ─ < 160mg/dl.
Conclusions: The data from this study have shown that hyperglycemia on admission was associated with a worse outcome for all patients admitted with ACS.

Keywords: Diabetes mellitus; Acute coronary syndromes; CK-MB