Glysemia in Admission to Hospital and the Features of Inhospital Period in Patients With Myocardial Infarction With ST –Segment Elevation

Abstract

The aim was to determine the features of in-hospital period in patients with myocardial infarction with ST- segment elevation depending on the level of glycemia in admission. There have been examined 319 patients with acute myocardial infarction (190 men and 129 women) aged 59-69 years, who were divided by the level of glycemia in admission into 3 groups: group 1: 110 persons with the concentration of glucose ≤ of 7,1 mmol/l, 2-I – 138 patients with glucose 7,1-11,1 mmol/l, 3-I – 71 patient with the concentration of glucose ≥11.1 mmol/l. The level of glucose in the 3rd group was higher than in the 1-st and 2-nd groups (2,7 times and 1,8 times respectively, р1-3=0,0001, р2-3=0,0008). There has been identified the association of glycemia with traditional factors of cardiovascular risk and the level of troponin T. The blood glucose level can be considered as a universal marker, indicating the presence of disorders of carbohydrate metabolism, and reflecting the stress response to ischemic myocardial damage. Hyperglycemia revealed in admission to the hospital in patients with MI is associated with adverse course of in-hospital period, including the development of lethal outcomes.