Mortality associated with hyperglycemia in non-diabetic, post-revascularization patients with acute myocardial infarction, during the years 2007-2015 in the private clinic Ricardo Palma. Lima, Peru

Abstract

Acute coronary artery disease is a pathology that demands a high clinic suspicion and early treatment. Likewise, hyperglycemia is well known as a direct mediator of adverse outcomes and a severe marker of coronary artery disease. The Aim of the study is to measure the association between mortality and hyperglycemia at admission in non-diabetic infarcted patients after revascularization. Methods: The design was of the observational analytic type, with secondary data revision, and had a total population of 738 and the sample was 218. Data analysis was made with Stata v.14.0, and was made one variable data tables. Furthermore, we used descriptive analysis using measures of central tendency, dispersion, and percentage distribution in absolute and relative frequencies, bivariate descriptive statistics and inferential analysis using Chi-squared test for categorical variables and student’s t test for numerical variables. Moreover, we used the Poisson regression technique. Results: The outcomes whose p value was significant showed that age, macrovascular damage, and high serum glucose values during the year of follow-up were related to higher mortality. Conclusions: Hyperglycemia during the year following the cardiovascular event is an important predictor of mortality and could help us to reduce specific mortality rates if we perform a proper follow-up of glucose level within the national health plan of each country of the region.