Prevalence of Unrecognized Diabetes Mellitus in Patients Admitted With Acute Coronary Syndrome

We assessed the prevalence of unrecognized diabetes mellitus (DM) in patients with acute coronary syndrome (ACS) as determined by elevated glycosylated hemoglobin (HbA1c), fasting plasma glucose (FPG), and random plasma glucose (RPG) levels. This prospective study recruited 583 patients admitted wit...

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Bibliographic Details
Published in:Angiology 2013-01, Vol.64 (1), p.26-30
Main Authors: Abdullatef, W.K., Al-Aqeedi, R.F., Dabdoob, W., Hajar, H.A., Bener, A., Gehani, A.A.
Format: Article
Language:English
Subjects:
Acute Coronary Syndrome - diagnosis
Acute Coronary Syndrome - epidemiology
Blood Glucose
Diabetes Mellitus - epidemiology
Female
Glycated Hemoglobin A
Humans
Hyperglycemia - epidemiology
Male
Prediabetic State - epidemiology
Prevalence
Prospective Studies
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Summary:We assessed the prevalence of unrecognized diabetes mellitus (DM) in patients with acute coronary syndrome (ACS) as determined by elevated glycosylated hemoglobin (HbA1c), fasting plasma glucose (FPG), and random plasma glucose (RPG) levels. This prospective study recruited 583 patients admitted with ACS without previous diagnosis of DM during 1-year period. Glycosylated hemoglobin was checked for most patients especially those with high values of FPG and or RPG. Patients were classified according to their glycemic state into 123 (21.1%) with DM, 82 (14.1%) with prediabetes, and 57(9.8%) with stress hyperglycemia, while 321 (55%) were classified as nondiabetics. Glycosylated hemoglobin estimation in the setting of ACS was helpful in the diagnosis of DM to eliminate the effect of stress-induced hyperglycemia that might accompany this condition.
ISSN:0003-3197
1940-1574
DOI:10.1177/0003319711434054