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Evaluation of in-hospital Mortality of Acute Coronary Syndrome Based on Blood Glucose at Admission
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Mahboobeh Sheikh    , Pouya Ostadrahimi , Elham Shahraki |
| zobol university of medical science , drmsh79@gmail.com |
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Abstract: (1879 Views) |
Introduction: Coronary artery disease (CAD) is one of the leading causes of death worldwide, and various factors are involved in the incidence of CAD and the mortality caused by this disease. Diabetes is one of the risk factors of acute coronary syndromes (ACS). This study aimed to evaluate the impact of hypertension on admission on the in-hospital mortality rate of patients with ACS.
Materials and Methods: This cross-sectional descriptive study was performed on 246 patients with acute coronary syndrome hospitalized at the cardiac intensive care unit of Amir Al-Momenin Hospital in Zabol, Sistan and Balouchestan, Iran. Patients were divided into two groups based on their blood glucose at admission, namely the group with a blood sugar of ≥ 200 mg/dl and the group with a blood glucose of < 200 mg/dl. The rate of cardiovascular complications and morbidity were assessed in the two groups during hospitalization. The required data were collected using information forms and finally analyzed in SPSS software (version 22).
Results: Out of 246 patients with the mean age of 62.8±6.5 years, 166 (67.5%) subjects were male and 106 (43%) patients were in the first group with a blood glucose of ≥ 200 mg/dl at admission. The frequency of history of hypertension, coronary heart disease, body mass index, total cholesterol, low density lipoprotein, serum troponin, left ventricular ejection fraction was higher in the first group. Furthermore, the rates of cardiovascular events including acute heart failure, cardiogenic shock, arrhythmia, stroke, and in-hospital mortality were significantly higher in the first group. Despite the higher incidence of death in patients with high blood sugar, previous history of diabetes had no effect on increasing the mortality rate.
Conclusion: preventive measures, such as regular screening of at-risk population and early diagnosis and control of diabetes, can prevent such cardiovascular complications as acute coronary syndromes and their related mortalities and avoid imposing more economic, social, and medical burden on societies. |
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| Keywords: Acute coronary syndrome, Mortality, Blood glucose, Cardiac intensive care unit, Diabetes |
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Full-Text [PDF 2723 kb]
(1605 Downloads)
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Type of Study: Applicable |
Subject:
Special
Received: 2020/09/2 | Accepted: 2021/04/30 | Published: 2021/08/10
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