In this large registry of patients with STEMI, researchers quantified the association of high admission glucose in non-diabetics, and short and long term outcomes. They found an admission blood sugar of >150 (compared to <120) with an in-hospital death OR 2.9 and in-hospital major cardiac event OR 1.9. These persisted at 1 year follow up (death OR 1.5 and major cardiac event OR 1.3). We should be aware of the markedly increased risk of death or major adverse cardiac events (2-3 times higher) in non-diabetic STEMI patients with elevated glucose at admit (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.