DOI: 10.36347/sasjm.2021.v07i09.022

Pages: 514-520

Introduction: Hyperglyceamia accelerates the risk of death in patients with STEMI. Various complications associated with ST-Segment Elevation Acute Myocardial Infarction patients with and without admission hyperglyceamia show significant difference. Aim of the study: The aim of this study was to assess the complications in ST-Segment Elevation Acute Myocardial Infarction patients with and without admission hyperglyceamia. Methods: This prospective prognostic cohort study was conducted in the Department of Cardiology, NICVD, Dhaka from July 2010 to June 2011. Total 200 study populations were selected from STEMI patients with or without history of DM were included in this study. The patients were divided into two groups. Group I (100)-Normoglycaemia (Random blood sugar <200 mg/dl/<11.1 mmol/l) and Group II (100)- Hyperglycaemia (Random blood sugar ≥200 mg/dl/≥11.1 mmol/l). Group II (100)- (A) Stress Hyperglycaemia (50) Random blood sugar ≥200 mg/dl/≥11.1 mmol/l) and (B) Diabetic Hyperglycaemia (50) Random blood sugar ≥200 mg/dl/≥11.1 mmol/l). Result: Cardiogenic shock was most common in both group I and group II with 46% and 37% study people respectively. Followed by 41% in group I and 28% in group II had CHF, 11% in group I and 9% in group II had Bradyarrythmia, 6% in group I and 6% in group II had Tachyarrythmia and 4% in group I and 2% in group II had Thromboembolism. cardiogenic shock was most common in both group I and group IIA with 46% and 30% study people respectively. Followed by 41% in group I and 22% in group IIA had CHF, 11% in group I and 8% in group IIA had Bradyarrythmia, 6% in group I and 2% in group IIA had Tachyarrythmia and 4% in group I and 2% in group IIA had Thromboembolism. cardiogenic shock was most common in both group I and group IIB with 46% and 44% study people respectively. Followed by 41% in group I and 28% in group IIB had CHF, 11% in group I and 10% in group IIB had Bradyarrythmia, 6% in group I and 10% in group IIB had ................