Salim SATAR, Onur AKPINAR, Ahmet SEBE, Ayça AÇIKALIN, Akkan AVCI

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Akut miyokard infarktüsünde acil serviste saptanan stres hiperglisemi erken dönem mortalitesini gösteriyor

AMAÇ: Biz bu çalışmada acil servise başvuran akut miyokard infarktüsü (AMİ) hastalarının başvuru anındaki kan şekeri düzeyi ile kısa dönem prognozu arasında ilişkiyi araştırmayı amaçladık. GEREÇ ve YÖNTEM: Göğüs ağrısı ile başvuran ve AMİ tanısıyla Koroner Yoğun Bakıma yatırılan ardışık 100 hasta çalışmaya alındı. Acil servise başvuru anında alınan serum örnekleri incelendi, yatışları süresince izlenen aritmiler kaydedildi, gelişen mortaliteyi etkileyebilecek nedenler değerlendirildi ve kısa dönem mortalite oranları belirlendi. BULGULAR: Yatışları süresi içinde 14 (%14) hasta kaybedildi. Sadece DM olmayan hastalar incelendiğinde sağlıklı hastaların ortalama kan sekeri 158.8 ± 80.7 mg/dL iken kaybedilen hastalarda kan şekeri düzeyi 237.8 ± 115.5 mg/dL olarak saptandı (p

Stres hyperglycemia determined in emergency department predicts short term mortality in acute myocardial infarction

PURPOSE: We aimed to investigate the relationship between the initial serum glucose levels and short term prognosis of the patients with acute myocardial infarction (AMI) who were admitted to the Emergency Department (ED). METHODS: 100 patients who presented with angina pectoris and hospitalized with AMI diagnosis in the intensive care unit were included in the study. Their initial serum samples were detected, their arrhytmias during hospitalization period were recorded, the reasons which may effect their mortality were evaluated and short term mortality rates were determined. RESULTS: Fourteen patients (14%) died during their hospitalization periods. When non- diabetic patients were evaluated, while mean serum glucose levels in the dead patients were 237.8 ± 115.5 mg/dL, it was 158.8 ± 80.7 mg/dL in the survivors (p
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Çukurova Üniversitesi Tıp Fakültesi Dergisi-Cover
  • ISSN: 0250-5150
  • Yayın Aralığı: 4
  • Yayıncı: Tülay Candan
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