PMID- 26932697
OWN - NLM
STAT- MEDLINE
DCOM- 20161104
LR  - 20161230
IS  - 0125-9326 (Print)
IS  - 0125-9326 (Linking)
VI  - 47
IP  - 4
DP  - 2015 Oct
TI  - The Influence of Hyperglycemia at Admission on In-hospital Arrhythmia Patients 
      with Acute Coronary Syndrome.
PG  - 291-6
AB  - AIM: to determine the incidence of in-hospital arrhythmias in patients with acute 
      coronary syndrome (ACS) and to determine the influence of hyperglycemia at 
      admission (HA) on in-hospital arrhythmias complicating ACS. METHODS: a 
      retrospective cohort study was conducted using secondary data from medical 
      records of patients with ACS who were admitted to ICCU RSCM, between January 
      1st-December 31st, 2014. Hyperglycemia at admission was defined when the blood 
      glucose level at admission was >140 mg/dL. The in-hospital arrhythmias 
      encompassed atrial arrhythmia, supraventricular tacchycardia (SVT), high grade AV 
      block (HAVB), and ventricular arrhythmia, during the first seven days of 
      hospitalization. RESULTS: there were 232 subjects in this study. The prevalence 
      of HA was 50.43%. The incidence of in-hospital arrhythmia was 21.55% (95% CI 
      16.26-26.84). In bivariate analysis, there was significant association between HA 
      and in-hospital arrhythmia (RR 1.75; 95% CI 1.04-2.93). There were no association 
      between type of ACS, diabetes mellitus (DM), obesity, and hypertension, with the 
      in-hospital arrhythmias. In multivariate analysis, the adjusted OR of HA was 2.85 
      (95% CI 1.35-6.02), and DM was the confounding variable. CONCLUSION: the 
      incidence of in-hospital arrhythmias in patients with ACS was 21.55% (95% CI 
      16.26-26.84). Hyperglycemia at admission may increase the risk of in-hospital 
      arrhythmia in patients with ACS.
FAU - Zein, Ahmad Fariz Mz
AU  - Zein AF
AD  - Department of Internal Medicine, Faculty of Medicine Universitas Indonesia - 
      Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
FAU - Nasution, Sally A
AU  - Nasution SA
FAU - Purnamasari, Dyah
AU  - Purnamasari D
FAU - Mansjoer, Arif
AU  - Mansjoer A
LA  - eng
PT  - Journal Article
PL  - Indonesia
TA  - Acta Med Indones
JT  - Acta medica Indonesiana
JID - 7901042
RN  - 0 (Blood Glucose)
SB  - IM
MH  - Acute Coronary Syndrome/*complications/physiopathology
MH  - Arrhythmias, Cardiac/epidemiology/*etiology/physiopathology
MH  - Blood Glucose/*analysis
MH  - Female
MH  - Follow-Up Studies
MH  - Hospital Mortality/trends
MH  - Humans
MH  - Hyperglycemia/blood/*complications/epidemiology
MH  - Incidence
MH  - Indonesia/epidemiology
MH  - *Inpatients
MH  - Male
MH  - Middle Aged
MH  - Prognosis
MH  - Retrospective Studies
MH  - Risk Factors
EDAT- 2016/03/05 06:00
MHDA- 2016/11/05 06:00
CRDT- 2016/03/03 06:00
PHST- 2016/03/03 06:00 [entrez]
PHST- 2016/03/05 06:00 [pubmed]
PHST- 2016/11/05 06:00 [medline]
PST - ppublish
SO  - Acta Med Indones. 2015 Oct;47(4):291-6.