Basic types of the first-day glycemia in acute myocardial infarction: Prognostic, diagnostic, threshold and target glycemia

•The importance of stress hyperglycemia has been increasingly recognized.•Hyperglycemia is found in over half of the patients with suspected acute coronary syndrome.•Stress hyperglycemia can be used for cardiologic, endocrinologic, threshold and target purposes in AMI.•There is a need to find optima...

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Bibliographic Details
Published in:Primary care diabetes 2021-06, Vol.15 (3), p.614-618
Main Authors: Koracevic, Goran, Djordjevic, Milan
Format: Article
Language:English
Subjects:
Diabetes
Myocardial infarction
purposes
Stress hyperglycemia
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Summary:•The importance of stress hyperglycemia has been increasingly recognized.•Hyperglycemia is found in over half of the patients with suspected acute coronary syndrome.•Stress hyperglycemia can be used for cardiologic, endocrinologic, threshold and target purposes in AMI.•There is a need to find optimal cut-offs to divide blood glucose levels associated with good from bad prognosis in AMI.•We suggested a pragmatic classification of first day glycemia in order to be useful in a busy ED. We described the importance of stress hyperglycemia (SH) in critical illnesses and their evaluation in the emergency department (ED) and coronary care unit (CCU). Hyperglycemia is found in over half of the patients with suspected acute myocardial infarction (AMI). SH can be used for several purposes in AMI. Receiver operating characteristic curves are needed to find optimal cut-offs to divide blood glucose levels associated with good from bad prognosis in AMI. There is a need for a consensus for pragmatic classification of first day glycemia in order to be useful in a busy ED and CCU.
ISSN:1751-9918
1878-0210
DOI:10.1016/j.pcd.2021.02.007