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Title: | The prognostic value of blood glucose in diabetic patients with acute myocardial infarction |
Authors: | Fava, Stephen Aquilina, Oscar Azzopardi, Joseph Agius Muscat, Hugo Fenech, Frederick F. |
Keywords: | Myocardial infarction Diabetes -- Complications Hyperglycemia Diabetes -- Malta |
Issue Date: | 1996 |
Publisher: | Wiley Online Library |
Citation: | Fava, S., Aquilina, O., Azzopardi, J., Agius Muscat, H., & Fenech, F. F. (1996). The prognostic value of blood glucose in diabetic patients with acute myocardial infarction. Diabetic Medicine, 13(1), 80-83. |
Abstract: | The aim of the study was to investigate prospectively the prognostic value of blood glucose on admission in diabetic and non-diabetic patients with an acute myocardial infarction. Three hundred and thirty-three diabetic and 565 non-diabetic patients were admitted with acute myocardial infarction during the study period of 3.5 years. There was a significant association between mortality and blood glucose on admission in diabetic patients (regression coefficient, r = 0.92, 0.5 < p < 0.02) but not in non-diabetic individuals (r = 0.69, 0.2 < p < 0.5). Age- and sex-standardized mortality was higher in the diabetic group (12.2% vs 7.4%, p < 0.03), but was identical if standardized also for blood glucose on admission. We conclude that a high blood glucose on admission is a bad prognostic indicator in a diabetic patient with an acute myocardial infarction. The excess mortality in diabetic patients with acute myocardial infarction can be attributed to the higher proportion with hyperglycaemia. |
URI: | https://www.um.edu.mt/library/oar//handle/123456789/28622 |
Appears in Collections: | Scholarly Works - FacM&SMed |
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