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