| Backgrounds and objectives: Stress hyperglycemia(SH) is frequently encountered by acute myocardial infarction(AMI). The aim of this study was to study the characteristics of SH accompanied by AMI.Methods: Patients were referred from the Affiliate Hospital of Guilin Medical University between 2014 January to 2015 December. A total of 180 patients with AMI were enrolled. All the participants were confirmed to be free from diabetes and arrhythmia. Patients with fasting glucose ≥ 7mmol/L or random glucose group ≥ 11.1mmol/L were defined as SH. All included participants were divided in two the SH group(Admitted to hospital the next morning fasting blood glucose blood ≥7.0mmol / L, fasting blood glucose test twice 24 h after the normal range or line of standard glucose tolerance test,except diabetes) or non-SH group(Admission blood the next morning fasting blood glucose <7.0mmol / L). Outcomes were the clinical characteristics of SH with AMI, coronary angiogram, SYNTAX scores and adverse incidents during hospitalization.Results: Collectively, 95 patients with SH were assigned into the SH group(Male, 50; Female, 45; age range, 48.28±12.91) and 85 patients into the non-SHgroup(Male, 43; Female, 42; age range, 52.05±9.05). Overall, significant differences were found regarding to the staying up late, Eating disorders,hyperventilation, smoking, alcohol consumption, body mass index,high cholesterol, cTnT, and LVEF(P<0.05). The coronary angiogram and SYNTAX scores demonstrated significant differences into the coronary artery lesions(P<0.05). The adverse incidents during hospitalization were also more frequent seen in the SH group compared to non-SH group(P<0.05).Conclusion:(1). SH is a related risk factor for patients with AMI as long as a protective factor for the onset of AMI.(2). Higher rate of coronary lesions in the SH group implicated more serious clinical prognosis of AMI.(3). Smoking,alcohol consumption, high level of LDLs and obesity are risk factors for SH. |
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