Glycaemic Status On Admission In Patients With Acute Coronary Syndrome

Abstract

12.00 Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;} Introduction: In patients with acute coronary syndrome (ACS), hyperglycemia is a predictor of immediate and long-term cardiovascular mortality. Abnormal glucose regulation is present in the majority of these patients and is unrecognized in up to half of the cases. The objective of this study was to assess the glycaemic status of patients on admission with ACS. Methodology: Patients presenting with chest pain and falling into one of the acute coronary syndromes (STEMI, NSTEMI, and UA) were allocated in to two groups based on past history of Diabetes. Diagnosed Diabetic patients who were not on treatment were excluded from the study. Admission RBS and next day FBS were recorded in all patients. Results: 102 patients were enrolled for the study. Mean admission random blood sugar(RBS) and fasting blood sugar(FBS) of diabetic patients who were on treatment were significantly higher (308, 203 mg/dl) than that of patients without a past history of Diabetes (135, 111 mg/dl) P Conclusions: Hyperglycaemia is a major problem in our patients with and without a past history of diabetes when they present with ACS. Therefore prompt attention is necessary on blood glucose control in all patients, irrespective of the past status of diabetes. It is important to follow up the  patients with abnormal blood glucose values and without a past history of diabetes , to detect the development of Diabetes. Keywords: acute coronary syndrome; glycaemic control; hyperglycaemia Citation: Indrakumar J, Marasinghe MCGP. Glycaemic Status On Admission In Patients With Acute Coronary Syndrome. Sri Lanka Journal of Critical Care 2009;1:25-28 DOI: 10.4038/sljcc.v1i1.939