الفهرس 
DIABETES MELLITUS AND CORONARY ARTERY DISEASEOnly 14 pages are availabe for public view
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Abstract
Hyperglycemia on admission is common in AMI patients regardless of diabetic status and is known as one of prognostic factors. HG upon hospital admission in patients with ST-segment elevation myocardial infarction (STEMI) occurs frequently and is associated with adverse outcomes. It is; however, unsettled as to whether an elevated blood glucose level is the cause or consequence of myocardial damage. The purpose of the present study was to assess the impact of hyperglycemia on in-hospital and short-term (6 months) outcomes in patients with AMI. Additionally, to assess the effect of HG on left ventricular remodeling using speckle-tracking echocardiography.This study included 100 patients with first acute anterior STEMI, treated by thrombolytic reperfusion strategy and all patients subjected to complete history taking, full general and local examination, laboratory investigations, ECG and echocardiography (within the first three days upon admission and 6 months later). Patients with chronic-HG had higher incidence of other co-morbidities including HTN, dyslipidemia, and smoking. Also they had higher mean age, frequency of male gender and serum creatinine level in comparison to other patient groups.Acute-HG patients had higher levels of CKMB, troponin, Killip class II or III and blood pressure measurements as compared to non acute-HG group.Acute-HG was associated with higher in-hospital mortality in patient with AMI. While chronic-HG was not.