Frequency of undiagnosed diabetes mellitus and its short term complication in hyperglycemic patients of acute myocardial infarction

Aim: to determine the frequency of undiagnosed diabetes mellitus and stress hyperglycemia in hyperglycemic patients of acute myocardial infarction presenting in emergency department of a tertiary care hospital. methods: it was descriptive case study done at emergency ward and medical wards of mayo hospital lahore. a total of 300 patients were included in this study. accucheck alpha glucometer was used for capillary glucose measurement in each patient. hba1c was sent to lab on the same day. analysis for hba1c for all samples was done to determine frequency of stress hyperglycemia and undiagnosed diabetes mellitus. results: mean age of the patients was 56.9±9.3 years. out of 300 patients,197 patients (65.7%) were male while remaining 103 patients (34.3%) were female. undiagnosed diabetes mellitus was diagnosed in 165 patients (55%). stress hyperglycemia was present in 135 patients (45%) regarding outcome,post-mi angina was present in 35 patients (21.2%) of undiagnosed diabetes (n=165) and 11 patients (8.1%) of stress hyperglycemia (n=135). heart failure developed in 41 patients (24.9%) of undiagnosed diabetes and in 13 patients (9.6%) of stress hyperglycemia. conclusion: it is concluded that post-mi angina and heart failure is more common in patients of undiagnosed diabetes when compared with stress hyperglycemia. © 2016,lahore medical and dental college. all rights reserved.