Prediabetes is an incremental risk factor for adverse cardiac events: A nationwide analysis

• Published in: Atherosclerosis plus 2023-12, Vol.54, p.22-26
• Main Authors: Nanavaty, Dhairya, Green, Rhea, Sanghvi, Ankushi, Sinha, Rishav, Singh, Sohrab, Mishra, Tushar, Devarakonda, Pradeep, Bell, Kendall, Ayala Rodriguez, Cesar, Gambhir, Kanwal, Alraies, Chadi, Reddy, Sarath
• Format: Article
• Language: English
• Subjects: CVD; Hyperglycemia; Prediabetes; Short Communication; T2DM
• ISSN: 2667-0895; 2667-0909; 2667-0895
• DOI: 10.1016/j.athplu.2023.08.002

Prediabetes is defined as a state of impaired glucose metabolism with hemoglobin A1c (HbA1c) levels that precede those of a diabetic state. There is increasing evidence that suggests that hyperglycemic derangement in prediabetes leads to microvascular and macrovascular complications even before progression to overt diabetes mellitus. We aim to identify the association of prediabetes with acute cardiovascular events. We utilized the National inpatient sample 2018-2020 to identify adult hospitalizations with prediabetes after excluding all hospitalizations with diabetes. Demographics and prevalence of other cardiovascular risk factors were compared in hospitalizations with and without prediabetes using the chi-square test for categorical variables and the t-test for continuous variables. Multivariate regression analysis was further performed to study the impact of prediabetes on acute coronary syndrome, acute ischemic stroke, intracranial hemorrhage, and acute heart failure. Hospitalizations with prediabetes had a higher prevalence of cardiovascular risk factors like hypertension, hyperlipidemia, obesity, and tobacco abuse. In addition, the adjusted analysis revealed that hospitalizations with prediabetes were associated with higher odds of developing acute coronary syndrome (OR-2.01; C.I:1.94-2.08; P