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‘Pre-diabetes in 50% heart attack patients’


NEW DELHI: Nearly one out of every two patients rushed to a hospital with a full-blown heart attack caused by blockage of an artery — referred to as ST-Elevation Myocardial Infarction (STEMI) in clinical terms — suffer from undiagnosed diabetes or pre-diabetes, according to a study published in the Global Heart journal. The finding is based on the screening results of 3,523 patients from North India who were treated at two leading hospitals of Delhi — G B Pant Hospital and Janakpuri Super Specialty Hospital — between January 2019 and February 2020 for STEMI. Only 855 (24%) of them were known diabetic.
However, tests conducted to check blood sugar levels at the time of hospitalisation revealed there were 41% others who were either pre-diabetic (28%) or diabetic (13%) but they had no knowledge about it. Diabetes is a known risk factor for cardiovascular diseases. The principal investigator and corresponding author of the study, Dr Mohit Gupta told TOI that timely detection and management of diabetes may have reduced the risk of heart attack (STEMI) in many of these patients.
“Everyone, aged 18 years and above, should get herself or himself tested for diabetes periodically. This will help them ward off serious complications such as a heart attack in future,” he said.
Diabetes, he added, not only increases the risk of heart attack but also worsens the outcome as well. In the study, the G B Pant Hospital doctor said, it was found that patients with pre-diabetes (49%), newly-detected diabetes (53%), and established diabetes (48%) experienced higher rates of left ventricular dysfunction after the heart attack as compared to the non-diabetics (42%).
Even among the established diabetes cases, disease management wasn’t proper. Many of the patients had uncontrolled blood sugar levels resulting in poorer outcomes, the study showed.Overall, the authors concluded that the data highlights gaps in dysglycemia (raised blood sugar levels) surveillance and management among high-risk patients in North India.

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