Hypoglycemia at Admission in Patients With Acute Myocardial Infarction Predicts a Higher 30-Day Mortality in Patients With Poorly Controlled Type 2 Diabetes Than in Well-Controlled Patients

• DOI: 10.2337/dc13-2856
• Publication Date: 2014-06-10T08:11:04Z
• Authors: Sang Ah Lee; Suk Ju Cho; Myung Ho Jeong; Young Jo Kim; Chong Jin Kim; Myeong Chan Cho; Hyo-Soo Kim; Youngkeun Ahn; Gwanpyo Koh; Jeong mi Lee; Seok Kyu Oh; Kyeong Ho Yun; Ha Young Kim; Chung Gu Cho; Dae Ho Lee
• Keywords: Blood Glucose; Glycated Hemoglobin; Male; Time Factors; Myocardial Infarction; Middle Aged; Prognosis; Hypoglycemia; 3. Good health; 03 medical and health sciences; Patient Admission; 0302 clinical medicine; Diabetes Mellitus, Type 2; Hyperglycemia; Republic of Korea; Humans; Female; Registries; Diabetic Angiopathies; Aged

OBJECTIVE We aimed to evaluate the association between hypoglycemia at admission and 30-day mortality in patients with acute myocardial infarction (AMI) determine whether these associations differed according diabetes-control status AMI diabetes. RESEARCH DESIGN AND METHODS analyzed prognostic significance of hyperglycemia 34,943 or without type 2 diabetes from two registries: Korea Acute Myocardial Infarction Registry (KAMIR) Working Group on (KorMI). RESULTS The were divided into five groups serum-glucose levels admission: <3.9 mmol/L (<70 mg/dL); 3.9–7.72 (70–139 7.78–11.06 (140–199 11.11–14.39 (200–259 ≥14.44 (≥260 mg/dL). rates lowest highest glucose higher than those other groups; group had for diabetes, after adjusting multiple factors. also extracted compared four subgroups based hemoglobin A1c A, <6.5% (48 mmol/mol) mmol/L; B, ≥11.11 C, ≥8% (64 D, mmol/L. C rate among groups. CONCLUSIONS These data suggest that affects clinical outcomes differently depending status.