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Date Published: 15/05/2023
Online Published: 15/05/2023
Abstract Views: 188
Views PDF: 132
Issue
No. 41 (2021)
Section
Article
How to Cite
Le , D. N., Nguyen , T. L., Nguyen , K. D., & Nguyen , T. T. H. (2023). SURVEY THE SITUATION STRESS HYPERGLYCEMIA AND SOME INTERNAL HOSPITAL EVENTS IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION AT CAN THO CENTRAL GENERAL HOSPITAL IN 2020 - 2021. Cantho Journal of Medicine and Pharmacy, 41, 233-238. https://tapchi.ctump.edu.vn/index.php/ctump/article/view/782

SURVEY THE SITUATION STRESS HYPERGLYCEMIA AND SOME INTERNAL HOSPITAL EVENTS IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION AT CAN THO CENTRAL GENERAL HOSPITAL IN 2020 - 2021

Duc Nhan Le 1,, Thanh Liem Nguyen 2, Khanh Duy Nguyen 3, Thi Thanh Hang Nguyen 4
1 Da Nang General Hospital
2 Department of Internal Nursing, Can Tho University of Medicine and Pharmacy
3 Can Tho University of Medicine and Pharmacy
4 Hoa Hao - Medic Can Tho General Hospital

Main Article Content

Abstract

Background: Patients with acute myocardial infarction often have stress hyperglycemia and stress hyperglycemia is an independent predictor of cardiovascular events in hospital. Objectives: 1) To investigate the rate of stress hyperglycemia in patients with acute myocardial infarction; 2) Evaluate the association between stress hyperglycemia and some cardiovascular events during hospital stay in patients with acute myocardial infarction; Materials and methods: A cross-sectional descriptive study was carried out of 141 patients with acute myocardial infarction from July 2020 to July 2021 at Can Tho Central General Hospital. Results: 39.7% of patients with acute myocardial infarction had stress hyperglycemia. Heart failure in the stress hyperglycemic group was 1.3 times higher than in the group without hyperglycemia (86.7% and 63.6% versus 46.6%). Severe arrhythmia in group 3 (glycemia > 180 mg/dl) was almost twice as high as in group 2 (glycemia 141-180 mg/dl) and group 2 was 6.7 times higher than that in group 1 (glycemia ≤ 140 mg/dl) (20.0% and 18.2% compared to 2.7%); Cardiac shock in group 3 was almost twice as high as in group 2 and group 2 was 8.6 times higher than that in group 1 (13.3% and 12.1% compared to 1.4%). Conclusion: The rate of stress hyperglycemia in patients with acute myocardial infarction accounts for a high rate and internal cardiovascular events increases with the degree of hyperglycemia.

Article Details

Keywords

Stress hyperglycemia, acute myocardial infarction

References

1. American Diabetes Association, (2020), “Standards of medical care in diabetes - 2020”, Diabetes Care 2020, 43(1):14-31.
2. Huỳnh Lê Trọng Tường, (2017), “Tăng đường huyết do stress và các biến cố tim mạch trong thời gian nằm viện ở bệnh nhân nhồi máu cơ tim cấp”, Luận văn thạc sĩ y học, Đại học Y Dược thành phố Hồ Chí Minh.
3. Deedwania P, Kosiborod M, Barrett E, et al. (2008), “Hyperglycemia and acute coronary syndrome: ascientific statement from the American Heart Association Diabetes Committee of the Council on Nutrition, Physical Activity, and Metabolism”, Circulation, 117(12):1610 - 1619.
4. Goran Koraćević, Sladjana Petrović, Miloje Tomašević, et al. (2006), “Stress hyperglycemia in acute myocardial infarction”, Medicine and Biology ,13(3):152-157.
5. Sanjuán R, Núñez J, Blasco ML, et al. (2011), “Prognostic implications of stress hyperglycemia in acute ST elevation myocardial infarction Prospective observational study, Rev Esp Cardiol , 64(3):201-207.
6. Thygesen K, Alpert JS, Jaffe AS, et al. (2018), “Fourth universal definition of myocardial infarction (2018)”, CirculationJ, 138:618-651.
7. Zhouna, Li Zhen, (2014), “Relationship between stress hyperglycemia and in hospital mortality and complications in patients with acute myocardial infarction”, JACC, 64(16):126.