title: The Influence of Hyperglycemia at Admission on In-hospital Arrhythmia Patients with Acute Coronary Syndrome.
abstract: OBJECTIVE
  to determine the incidence of in-hospital arrhythmias in patients with acute coronary syndrome (ACS) and to determine the influence of hyperglycemia at admission (HA) on in-hospital arrhythmias complicating ACS.
  
  
  METHODS
  a retrospective cohort study was conducted using secondary data from medical records of patients with ACS who were admitted to ICCU RSCM, between January 1st-December 31st, 2014. Hyperglycemia at admission was defined when the blood glucose level at admission was >140 mg/dL. The in-hospital arrhythmias encompassed atrial arrhythmia, supraventricular tacchycardia (SVT), high grade AV block (HAVB), and ventricular arrhythmia, during the first seven days of hospitalization.
  
  
  RESULTS
  there were 232 subjects in this study. The prevalence of HA was 50.43%. The incidence of in-hospital arrhythmia was 21.55% (95% CI 16.26-26.84). In bivariate analysis, there was significant association between HA and in-hospital arrhythmia (RR 1.75; 95% CI 1.04-2.93). There were no association between type of ACS, diabetes mellitus (DM), obesity, and hypertension, with the in-hospital arrhythmias. In multivariate analysis, the adjusted OR of HA was 2.85 (95% CI 1.35-6.02), and DM was the confounding variable.
  
  
  CONCLUSIONS
  the incidence of in-hospital arrhythmias in patients with ACS was 21.55% (95% CI 16.26-26.84). Hyperglycemia at admission may increase the risk of in-hospital arrhythmia in patients with ACS.
authors.affiliation: Department of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
authors.forename: Ahmad Fariz Mz
authors.initials: AF
authors.lastname: Zein
authors.forename: Sally A
authors.initials: SA
authors.lastname: Nasution
authors.forename: Dyah
authors.initials: D
authors.lastname: Purnamasari
authors.forename: Arif
authors.initials: A
authors.lastname: Mansjoer
mesh_terms: D054058:Acute Coronary Syndrome / Q000150:complications* / Q000503:physiopathology; D001145:Arrhythmias, Cardiac / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology; D001786:Blood Glucose / Q000032:analysis*; D005260:Female; D005500:Follow-Up Studies; D017052:Hospital Mortality / Q000639:trends; D006801:Humans; D006943:Hyperglycemia / Q000097:blood / Q000150:complications* / Q000453:epidemiology; D015994:Incidence; D007214:Indonesia / Q000453:epidemiology; D007297:Inpatients; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors
chemical_list: D001786:Blood Glucose