Type 2 & other diabetes

The relationship of plasma glucose, stress hyperglycaemia and glycated haemoglobin with intermediate‐term mortality after acute myocardial infarction in patients with and without diabetes

Diabet MedPublished Retrospective cohort study

Authors' conclusion

Our results suggest a possible detrimental effect of hyperglycaemia in the setting of an acute myocardial infarction.

Study context

Population
Patients admitted with acute MI
Participants
430 patients
Exposure
Admission glucose, HbA1c, stress hyperglycaemia ratio and stress hyperglycaemia index vs mortality
Outcome
Mortality
Follow-up
Median 2.5 years

Main finding

As reported in the abstract

Association of glycaemic parameters with mortality (Cox regression) · median 2.5 years
  • Stress hyperglycaemia index associated with increased mortality in patients with diabetes in univariate and multivariate analyses
  • Admission glucose associated with mortality in diabetes in univariate analysis and after adjustment for age and sex, but not after adjusting for eGFR
  • No significant association between admission glucose and mortality without diabetes
  • HbA1c not associated with mortality in either group in univariate and multivariate analyses

Observational data: associations, not effects.

Original publication

The relationship of plasma glucose, stress hyperglycaemia and glycated haemoglobin with intermediate‐term mortality after acute myocardial infarction in patients with and without diabetes. Diabet Med. Published 7 February 2025. doi:10.1111/dme.70008

Composed by AI from the published abstract and checked against it. How Briefs are made →

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