Evaluation of Myocardial Damage in Relation to HbA1c in Patients with Previously Unrecognized Diabetes Presenting with STEMI

Objective: The mechanisms underlying worse clinical outcomes in previously unrecognized diabetic (DM) patients ST-elevation myocardial infarction (STEMI) are unclear. It was hypothesized that poor chronic glucose control might be related to greater damage.
 Material and Method: 51 newly diagnosed DM with glycated hemoglobin A1c (HbA1c) > 6.5 comprised the group, 54 sex- age-matched individuals normal metabolism served as non-DM group. Each patient underwent primary angioplasty for STEMI. levels of cardiac specific markers before angioplasty, during at 6, 12, 18 h after were recorded. SPSS 10 package program used analyse data.
 Results: In both groups troponin peaked 6 h. Peak similar (diabetics, 22.89 ± 18.19 vs. non-diabetics, 32.67 17.68 ng/ml, p=0.168).
 Conclusions: HbA1c is not extent presenting Future studies assessing effects other factors unrelated on damage cardiovascular event rates these would great interest.