Prevalencia de hiperglucemia en pacientes no diabéticos con infarto agudo de miocardio en el servicio de urgencias

Abstract

Prevalence of hyperglycemia in non diabetic patients in the acute myocardial infarction in the emergency department Objectives: To determine the prevalence of hyperglycemia in non diabetic patients with acute myocardial infarction in the emergency department of the General Dr GGG UMAE CMN IMSS, the period of January 1, 2008 to December 31, 2009. Statistical analysis plan: We use a retrospective and descriptive statistics with percentages, frequencies, median. Prevalence test was used. Results. We reviewed a total of 300 cases, 50 cases were eliminated that did not have a diagnosis of myocardial infarction and eliminated 165 of those who had a history of Diabetes Mellitus. With a sample of 85 patients of whom 63 patients were with hyperglycemia on admission, according to the prevalence test a prevalence of 25.2% of patients with hyperglycemia without a history of diabetes mellitus. As found in the hyperglycemia group classification of Killip and Kimball severity was Class I predominance by 60% which corresponds to a 6% mortality at 30 days. Conclusion. The prevalence of hyperglycemia in non diabetic patients with a diagnosis of acute myocardial infarction in our population was 25.2% comparable to studies conducted nationally and internationally, as according to the study found that Killip and Kimball classification I was the most common type in the group with hyperglycemia