Study of glycemic control type effects in hospital prognosis of diabetic patients with acute Coronary syndrome

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ABDOLLAHI MOGHADDAM ALIREZA; RAFFIEI JELODAR HODA

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Journal: Medical Journal of Mashhad University of Medical Sciences Year:2019 | Volume:61 | Issue:6 Page(s): 1328-1340

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Title

Study of glycemic control type effects in hospital prognosis of diabetic patients with acute Coronary syndrome

Author(s)

ABDOLLAHI MOGHADDAM ALIREZA | RAFFIEI JELODAR HODA | Issue Writer Certificate

Keywords

DiabetesQ2

Intensive controlQ1

MACEQ1

Abstract

Introduction: Prevalence of cardiovascular disease in diabetic patients is more than general population and its adverse events are more common, though multiple different protocol of glucose control in acute coronary syndrome were proposed, in this study two different protocol of controlling blood sugar level for decreasing hospital adverse events were compared. Materials and Methods: 200 diabetic patients with acute coronary syndrome in Imam Reza Cardiology Department after 48 hours insulin therapy randomly divided in to two groups: Intensive control, in this group we checked blood glucose level before meal and two hours post prandial (6 times a day) and insulin depending on chart with target fasting glucose70-110 mg/dl and two hours post prandial lower than 180 mg/dl. second group was conventional control with checking fasting blood glucose level daily, with using the Diabetes treatment like before admission with target of fasting glucose 70-130 mg/dl. All patients have been visited daily and major adverse cardiac (MACE) events were recorded. Results: Overall 12% of all patients had recurrent ischemia (10% of intensive group versus 14% in conventional group, p=0. 0514), Reinfarction in one patient of conventional group (p=1. 000), arrhythmia in 5 patients (2. 5%), 3 patients (3%) of conventional group versus 2 patients(2%) of intensive group (p=1. 000), ventricular dysfunction in 85% of patients, 84 patients (84%) of intensive group versus 86 patients (86%) of conventional group (p=0. 843) and intra hospital mortality rate was 4%, 5 patients (5%) in conventional versus 3 patients (3%) in intensive group, (p=0. 721). Conclusion: depending on the study we didn’ t find any significant differences in major adverse cardiac events in two groups.

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APA: Copy

ABDOLLAHI MOGHADDAM, ALIREZA, & RAFFIEI JELODAR, HODA. (2019). Study of glycemic control type effects in hospital prognosis of diabetic patients with acute Coronary syndrome. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, 61(6 ), 1328-1340. SID. https://sid.ir/paper/51840/en

Vancouver: Copy

ABDOLLAHI MOGHADDAM ALIREZA, RAFFIEI JELODAR HODA. Study of glycemic control type effects in hospital prognosis of diabetic patients with acute Coronary syndrome. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2019;61(6 ):1328-1340. Available from: https://sid.ir/paper/51840/en

IEEE: Copy

ALIREZA ABDOLLAHI MOGHADDAM, and HODA RAFFIEI JELODAR, “Study of glycemic control type effects in hospital prognosis of diabetic patients with acute Coronary syndrome,” MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, vol. 61, no. 6 , pp. 1328–1340, 2019, [Online]. Available: https://sid.ir/paper/51840/en

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