AMI up with stress-induced hyperglycemia after hip fx

AMI up with stress-induced hyperglycemia after hip fx
For patients after hip fracture, stress-induced hyperglycemia is associated with an increased risk of acute myocardial infarction, according to a study published online July 11 in Diabetes Care.

(HealthDay)—For patients after hip fracture, stress-induced hyperglycemia is associated with an increased risk of acute myocardial infarction (AMI), according to a study published online July 11 in Diabetes Care.

Yan Chen, M.D., from Capital Medical University in Beijing, and colleagues examined the risk of AMI following stress hyperglycemia after hip fracture using data from 1,257 patients with no history of diabetes who suffered hip fractures. Patients were divided into stress hyperglycemia and non-hyperglycemia groups based on fasting .

The researchers found that the frequency of stress hyperglycemia was 47.89 percent and the frequency of AMI was 9.31 percent. AMI occurred significantly more often in the stress hyperglycemia group (12.46 percent) than the non-hyperglycemia group (6.41 percent). For patients with stress hyperglycemia, fasting blood glucose levels peaked two to three days after hip fracture and decreased thereafter. In the stress hyperglycemia group, the incidence of AMI was highest in the initial three days after hip fracture (62.67 percent), coinciding significantly with the fasting blood glucose peak time. Non-ST-segment elevation (62.39 percent) occurred more often than ST-segment elevation myocardial infarction (37.61 percent) among all patients with AMI.

"We conclude that stress-induced hyperglycemia increased the risk of AMI in patients with hip fractures," the authors write. "Stress-induced hyperglycemias after should be identified early."

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

TPN-linked hyperglycemia ups death for non-critically ill

Jan 03, 2013

(HealthDay)—Non-critically ill hospitalized patients who develop hyperglycemia after total parenteral nutrition (TPN) are more than five times more likely to die in the hospital, according to research published ...

Stress fracture risks may be modifiable

Jul 12, 2013

Programs to improve movement patterns may help prevent stress fractures in athletes and military personnel, say researchers presenting their work today at the American Orthopaedic Society for Sports Medicine's Annual Meeting ...

Recommended for you

Shift work linked to heightened risk of type 2 diabetes

Jul 24, 2014

Shift work is linked to a heightened risk of developing type 2 diabetes, with the risk seemingly greatest among men and those working rotating shift patterns, indicates an analysis of the available evidence published online ...

Rosemary and oregano contain diabetes-fighting compounds

Jul 23, 2014

The popular culinary herbs oregano and rosemary are packed with healthful compounds, and now lab tests show they could work in much the same way as prescription anti-diabetic medication, scientists report. In their new study ...

User comments