Using a single cut-off for stress hyperglycemia in myocardial infarction decreases its prognostic value particularly in diabetes

Goran P. Koracevic

doi:10.1016/j.ajem.2013.10.027

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Using a single cut-off for stress hyperglycemia in myocardial infarction decreases its prognostic value particularly in diabetes☆

Goran P. Koracevic, MD, PhD

Department of Cardiology, Clinical Centre and Medical Faculty, University of Nis, Nis, Serbia

DOI: http://dx.doi.org/10.1016/j.ajem.2013.10.027

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High admission blood glycemia (ABG), that is, stress hyperglycemia (SH), is an important prognostic indicator in a variety of diseases, including acute myocardial infarction (AMI) [1]. Although this has been known for decades [2], there is, to date, no universal consensus about ABG concentration(s) required for SH in AMI patients [1,3-5]. Indeed, it is intrinsically difficult to define SH in patients with diabetes mellitus (DM) because basal glycemia is not known and could vary significantly in this patient population [6].

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☆This work has been supported by the Serbian Ministry of Education and Science, grant number III41018 .

Using a single cut-off for stress hyperglycemia in myocardial infarction decreases its prognostic value particularly in diabetes☆

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