Naslov (eng)

Four varieties of diabetes mellitus in acute myocardial infarction

Autor

Koraćević, Goran
Obradović, Slobodan
Kostić, Tomislav
Pavlović, Milan
Kutlešić, Marija
Stojanović, Milovan
Vasiljević, Slađana
Koraćević, Maja

Opis (eng)

Patients with diabetes mellitus (DM) have a two- to four-fold increased risk of developing cardiovascular disease, three-fold for acute coronary syndrome and they experience cariovascular events events 15 years earlier than the general population. In a recent paper, among acute myocardial infarction (AMI) patients only 30% were clinically diagnosed (as having DM) in the hospital and were treated instantly. Therefore, majority of DM patients in AMI were either not diagnosed or not treated. It is important to measure glycosylated hemoglobin A1c (HbA1C) on admission to detect unrecognized patients with glucometabolic abnormalities. OGTT before discharge or within the 3 next months is recommended in the majority of guidelines, but not in all. It is reasonable not to omit OGTT at least if HbA1c is not conclusive. DM and pre-DM are important prognostically, they can be prevented or treated only if detected. There is no excuse to avoid at least one of such routine tests, as it has been occurred frequently in practice, with probable serious clinical consequence.

Opis (eng)

Vojnosanitetski pregled; 76(11): 1184-1189

Jezik

engleski

Datum

2019

Licenca

Ovo delo je licencirano pod uslovima licence
Creative Commons CC BY-NC-ND 4.0 - Creative Commons Autorstvo - Nekomercijalno - Bez prerada 4.0 International License.

http://creativecommons.org/licenses/by-nc-nd/4.0/legalcode

Predmet

diabestes mellitus, acute myocardial infarction, OGTT, glycosylated hemoglobin A1c , early detection

Deo kolekcije (1)

o:2347

Radovi istraživača i saradnika Inovacionog centra Univerziteta u Nišu