THE ROLE OF STRESS HYPERGLYCAEMIA RATIO IN PREDICTING MORTALITY IN PATIENTS WITH ST-SEGMENT ELEVATION MYOCARDIAL INFARCTION

Abstract

Background: Thirty to fifty percent of patients who present with Acute Myocardial Infarction (AMI) have elevated glucose levels regardless of diabetic status. This increase in glucose levels has been linked with increased risk of mortality in non-diabetic (NDM) patients but less so in diabetic (DM) patients. Relative hyperglycaemia may be a better predictor of mortality in ST-segment elevation myocardial infarction (STEMI) patients than absolute admission hyperglycaemia. The stress hyperglycaemia ratio (SHR) measures relative hyperglycaemia and may be a novel metric for predicting mortality in STEMI patients with admission stress hyperglycaemia (SH).