Basic types of the first-day glycemia in acute myocardial infarction: Prognostic, diagnostic, threshold and target glycemia

Goran Koracevic; Milan Djordjevic

doi:10.1016/j.pcd.2021.02.007

Basic types of the first-day glycemia in acute myocardial infarction: Prognostic, diagnostic, threshold and target glycemia

Prim Care Diabetes. 2021 Jun;15(3):614-618. doi: 10.1016/j.pcd.2021.02.007. Epub 2021 Feb 27.

Authors

Goran Koracevic¹, Milan Djordjevic²

Affiliations

¹ Clinic for cardiovascular diseases, Clinical Center Nis, Serbia; Medical Faculty, University of Nis, Serbia. Electronic address: gkoracevic@yahoo.com.
² Emergency Medical Service, Health Center Jagodina, Serbia. Electronic address: milan_mdj@hotmail.com.

PMID: 33648853
DOI: 10.1016/j.pcd.2021.02.007

Abstract

We described the importance of stress hyperglycemia (SH) in critical illnesses and their evaluation in the emergency department (ED) and coronary care unit (CCU). Hyperglycemia is found in over half of the patients with suspected acute myocardial infarction (AMI). SH can be used for several purposes in AMI. Receiver operating characteristic curves are needed to find optimal cut-offs to divide blood glucose levels associated with good from bad prognosis in AMI. There is a need for a consensus for pragmatic classification of first day glycemia in order to be useful in a busy ED and CCU.

Keywords: Diabetes; Myocardial infarction; Stress hyperglycemia; purposes.

MeSH terms

Blood Glucose
Emergency Service, Hospital
Humans
Hyperglycemia* / diagnosis
Myocardial Infarction* / diagnosis
Prognosis

Substances

Blood Glucose