HUBUNGAN KADAR GULA DARAH SAAT MASUK RUMAH SAKIT DENGANCARDIAC EVENTS PADA PENDERITA INFARK MIOKARD AKUT DI RS DR SARDJITO YOGYAKARTA

Authors

  • Bambang Irawan Bagian Kardiologi FK Universitas Gajah Mada Yogyakarta
  • Suharno Suharno Bagian Kardiologi FK Universitas Gajah Mada Yogyakarta
  • Wasilah Rochmah Bagian Kardiologi FK Universitas Gajah Mada Yogyakarta

DOI:

https://doi.org/10.21776/ub.jkb.2005.021.01.7

Abstract

Hyperglycaemia is common in patients with acute myocardial infarction with and without diabetes mellitus. There is a positive relationship between hyperglycaemia at thetime of event and highly incidence of mortality and morbidity after acute myocardial infarction. Consequently, understanding the possible mechanisms through which hyperglycaemia worsens the prognosis of acute myocardial infarction, as well as effectiveness of its control during acute myocardial infarction, seems to be a great relevance. This study to investigate wether a relationship exists between blood glucose level on admission and cardiac events in non diabetic patients after an acute myocardial infarction. Method,  a cohort prospective observational study was done on acute myocardial infarction’s patients who were hospitalized in ICCU DR Sardjito’s hospital from March 2002 until October 2004. Subject who met inclusion and exclusion criteria were divided into 2 groups, the group in which blood glucose level onadmission was ≤ 140 mg/dl and the group with bloodglucose on admission was > 140 mg/dl. Cardiac events as well as mortality, cardiac failure, reinfarction and cardiogenic shock were observed for 6 months. There were 95 subjects, 93 males and 2 females.

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References

Antman EM, Braunwald E. Acute myocardial infarction. In: Braunwald E [ed] Heart Disease a Texbook of Cardiovascular Medicine.Philadelphia: WB Saunders Co; 1998.

Volpi A, Vita CD, Fanzosi MG, Gerasi E, Maggioni AP,Mauri F, Negri E, Santoro E, Tavazzi L, Tognoni GTS. Determinan of 6-Month Mortality in Survivors of Myocardial Infarction After Thrombolysis. Result of The GISSI 2 Data Base. The Ad Hoc Working Group of The Gruppo ItalianoPer Lo Studio Della Sopravvivenza Nell’ Infarto Miocardico [GISSI]-2 Data Base. Circulation; 1993; 88: 1421-1430.

Stubbs PJ, Laycoek J, Alaghband Zadeh J, Carter G, Noble MI. Circulating Stress Hormone and Insulin Concentrations In Acute Coronary Syndromes. Identification of Insulin Resistance on Admission. Clin Sci; 1999 June:589-595.

Groeneveld AB, Beichuizen A, Visser FC. Insulin: A Wonder Drug in The Critically Ill? Critical Care;2002;6:102-105.

Capes SE, Hunt DH, Malmberg K, Gerstein HC. Stress Hyperglycaemia and Increased Risk of Death After Myocardial Infarction in Patients with and Without Diabetes: ASystemic Overview.The Lancet;2000;355:773-778.

ACC/AHA. Guidelines For The Management of Patients with AcuteMyocardial Infarction.Update Guideline.1999.

Norhammar AM, Ryden L, Malbery K. Admission Plasma Glucose. Independent Risk Factor Long-Term Prognosis After Myocardial Infarction Even in Non Diabetic Patients. Diabetes Care; 1999; 22:1827-1831.

Massie BM and Amidon TM. Heart. in: Tierney LM, McPhee SJ, Papadakis Mas.Current Medical Diagnosis and Treatment.. London: Prentice Hall International, 1998.

PERKENI. Petunjuk Praktis Pengelolaan Diabetes Mellitus Tipe 2. 2002.

Lwanga SK, Lemeshow S. Sample Size Determination in Health Studies. A Practical Manual. WHO Geneva. 1991.

Jaffe AS. Acute Myocardial Infarction. in: CrawfordMH [ed]. Current Diagnosis And Treatment In Cardiology. 5th a Lange Medical Book. 1995.

ACE. American College of Endocrinology Position Statement on Inpatient Diabetes and Metabolic Control. Endocrine Practice; 2004;10:1:77-83.

Stranders I, Diamant M, van Gelder RE, Spruijt HJ, Twisk JW, Heine RJ, Visser FC. Admission Blood Glucose Level As Risk Indicator of Death After Myocardial Infarctionin Patients With And Without Diabetes Mellitus. Arch Intern Med;2004;164:982-988.

Timmer JR, van der Horst ICC, Ottervanger JP, Henriques JPS, Hoorntje JCA, de Boer MJ, Suryapranata H, Zijlstra F. Prognostic Value of Admission Glucose in Non-Diabetic Patients with Myocardial Infarction. Am Heart J; 2004;148:399-404.

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Published

2013-04-18

Issue

Vol. 21 No. 1 (2005)

Section

Research Article

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