Hyperglycemia and STEMI

Hyperglycemia is well recognized as being associated with extended hospital stays, negative postdischarge outcomes, significant morbidity and mortality, and exorbitant medical costs. In acute myocardial infarction (MI), hyperglycemia adversely affects the outcomes of patients with or without diabetes. Plasma glucose level at hospital admission is an independent predictor of death in patients with acute MI. Moreover, fasting glucose level on the day after hospital admission, and failure of an elevated glucose level on admission to fall within 24 h, have been shown to be better predictors of early mortality in patients with acute MI than is glucose level on admission.

Taken from Nature Clinical Practice Cardiovascular Medicine