Abstract:
AIMS:To investigate the prevalence of diabetes mellitus in patients with acute myocardial infarction and to determine whether casual blood glucose and haemoglobin A1c measured at admission could be used to diagnose diabetes mellitus. METHODS AND RESULTS:A prospective study that included all patients with acute myocardial infarction hospitalized during a one-year period at a coronary care unit. Casual blood glucose was measured at admission, fasting blood glucose during the hospital stay and, if necessary for classification, 2-3 months after discharge. Haemoglobin A1c was measured once at admission. Of 305 patients included in the study, 285 could be classified into three groups: 21% of these had previously diagnosed diabetes, 4% had newly diagnosed diabetes and the remaining patients were categorized as non-diabetic. Casual blood glucose >or=11.1 mmol x l(-1)at admission was found in 12 patients with no previously known diabetes, but diabetes mellitus was confirmed in only six of these patients. Haemoglobin A1c showed considerable overlapping of values between the three groups of patients (i.e. patients with known diabetes mellitus, patients with newly diagnosed diabetes mellitus and non-diabetics). CONCLUSION:One of four patients with acute myocardial infarction had diabetes mellitus. Increased casual blood glucose at admission was not a reliable measure to establish a diagnosis of diabetes and thus follow-up measures were necessary. Haemoglobin A1c was found to be an unreliable measure in the verification of diabetes.
journal_name
Eur Heart Jjournal_title
European heart journalauthors
Tenerz A,Lönnberg I,Berne C,Nilsson G,Leppert Jdoi
10.1053/euhj.2000.2445subject
Has Abstractpub_date
2001-07-01 00:00:00pages
1102-10issue
13eissn
0195-668Xissn
1522-9645pii
S0195668X0092445Xjournal_volume
22pub_type
杂志文章abstract::The clinical value of QRST isointegral maps (I-maps) for the detection of myocardial infarction (MI) in the presence of left bundle branch block (LBBB) was investigated. We recorded I-maps during sinus rhythm and right ventricular (RV) pacing, which simulated LBBB, in 62 patients with MI (42 patients had at least one ...
journal_title:European heart journal
pub_type: 杂志文章
doi:10.1093/eurheartj/14.8.1094
更新日期:1993-08-01 00:00:00
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journal_title:European heart journal
pub_type: 杂志文章
doi:10.1053/euhj.1999.1738
更新日期:2000-04-01 00:00:00
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更新日期:1992-03-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1985-10-01 00:00:00
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更新日期:1986-04-01 00:00:00
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更新日期:2007-03-01 00:00:00
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pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2010-11-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:1997-06-01 00:00:00
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doi:10.1053/euhj.2001.3034
更新日期:2002-06-01 00:00:00
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更新日期:2010-04-01 00:00:00
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journal_title:European heart journal
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pub_type: 杂志文章,meta分析,评审
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更新日期:2015-06-21 00:00:00
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更新日期:1996-11-01 00:00:00
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更新日期:2016-04-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2009-01-01 00:00:00
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更新日期:2012-09-01 00:00:00
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更新日期:2005-06-01 00:00:00
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更新日期:1998-11-01 00:00:00
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更新日期:2011-09-01 00:00:00
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更新日期:1987-06-01 00:00:00
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