title: [The prevalence of diabetes and stress hyperglycemia in the acute myocardial infarction patients].
abstract: OBJECTIVE
  To evaluate in our population the real prevalence of diabetes (DM) and stress hyperglycemia (HE) in patients with myocardial infarction (IAM) admitted in a cardiologic emergency unit.
  
  
  METHODS
  A retrospective analysis of 2262 patients with AMI evaluating the prevalence of DM (referred and diagnosed) and stress hyperglycemia.
  
  
  RESULTS
  Besides 12.1% of subjects were previously referred to be diabetic (men: 10.7% and women: 15.8%), diabetes was effectively diagnosed in 24.8% (M: 22.9%, W: 29.7%) and stress hyperglycemia in 13.6% HE of the patients (M: 14.3%, W: 11,7%) indicating that glycemic alterations were effectively observed in 37.2.% of the patients with IAM (M: 37.2%, W: 41.4%). In DM subjects IAM events occurred earlier, total intra-hospital mortality was higher (DM: 20.7%, ND: 13.8%, HE: 13.4%) and less surgical procedures were performed (ND 33.8%, DM: 21.7%, HE: 18.0%).
  
  
  CONCLUSIONS
  The elevated DM and stress hyperglycemia prevalence observed in our study indicates that glycemic alterations is one of the most important risk factors for IAM.
authors.affiliation: Instituto do Coração, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil. alerario@terra.com.br
authors.forename: Antonio Carlos
authors.initials: AC
authors.lastname: Lerario
authors.forename: Fabiana M L Martins
authors.initials: FM
authors.lastname: Coretti
authors.forename: Sergio Ferreira de
authors.initials: SF
authors.lastname: Oliveira
authors.forename: Roberto Tadeu Barcelos
authors.initials: RT
authors.lastname: Betti
authors.forename: Maria do Socorro C B
authors.initials: Mdo S
authors.lastname: Bastos
authors.forename: Letícia de Araujo Funari
authors.initials: Lde A
authors.lastname: Ferri
authors.forename: Rosa Maria Rahmi
authors.initials: RM
authors.lastname: Garcia
authors.forename: Bernardo Leo
authors.initials: BL
authors.lastname: Wajchenberg
mesh_terms: D000328:Adult; D017677:Age Distribution; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001786:Blood Glucose / Q000378:metabolism*; D001938:Brazil / Q000453:epidemiology; D048909:Diabetes Complications / Q000453:epidemiology* / Q000378:metabolism; D005260:Female; D018149:Glucose Intolerance / Q000453:epidemiology / Q000378:metabolism; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D006943:Hyperglycemia / Q000453:epidemiology* / Q000378:metabolism; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000378:metabolism* / Q000401:mortality / Q000628:therapy; D011236:Prediabetic State / Q000453:epidemiology / Q000378:metabolism; D015995:Prevalence; D012189:Retrospective Studies; D012307:Risk Factors; D017678:Sex Distribution; D012737:Sex Factors; D013312:Stress, Physiological / Q000502:physiology*
chemical_list: D001786:Blood Glucose