ArticleClinical research in cardiology : official journal of the German Cardiac Society2008
Screening for undiagnosed diabetes in patients with acute myocardial infarction.
Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- The oral glucose tolerance test for the diagnosis of diabetes mellitus in patients during acute coronary syndrome hospitalization: a meta-analysis of diagnostic test accuracy.Cardiovascular diabetology · 2012Pooled it
- Diabetes does not attenuate the benefit of physiology-guided complete revascularization in older patients with myocardial infarction.Cardiovascular diabetology · 2026Trial
- Long-term prognostic impact of glucagon-like peptide-1 receptor agonist before ST-segment elevation myocardial infarction in patients with type 2 diabetes: a nationwide cohort study.Cardiovascular diabetology · 2025Observational
- Undiagnosed Impaired Glucose Tolerance and Type-2 Diabetes in Acute Myocardial Infarction Patients: Fequency, Characteristics and Long-Term Mortality.Frontiers in cardiovascular medicine · 2022Article
- Newly diagnosed diabetes and outcomes after acute myocardial infarction in young adults.Heart (British Cardiac Society) · 2021Observational
- Peripheral artery disease in patients with diabetes: Epidemiology, mechanisms, and outcomes.World journal of diabetes · 2015Review
- Management of critically ill patients with type 2 diabetes: The need for personalised therapy.World journal of diabetes · 2015Review
- Stress hyperglycaemia in hospitalised patients and their 3-year risk of diabetes: a Scottish retrospective cohort study.PLoS medicine · 2014Article
- Percutaneous coronary intervention in patients with diabetes: current concepts and future directions.Journal of diabetes science and technology · 2014Review
- Impact of hyperglycemia at admission in patients with acute ST-segment elevation myocardial infarction as assessed by contrast-enhanced MRI.Clinical research in cardiology : official journal of the German Cardiac Society · 2011Article
- Admission C-reactive protein and short- as well as long-term mortality in diabetic versus non-diabetic patients with incident myocardial infarction.Clinical research in cardiology : official journal of the German Cardiac Society · 2010Article
- Admission glucose level and in-hospital outcomes in diabetic and non-diabetic patients with acute myocardial infarction.Clinical research in cardiology : official journal of the German Cardiac Society · 2010Article
- Treatment of specific macrovascular beds in patients with diabetes mellitus.Osteopathic medicine and primary care · 2010Article
- Hemostatic risk factors in patients with coronary artery disease and type 2 diabetes - a two year follow-up of 243 patients.Cardiovascular diabetology · 2009Article
- Hotline update of clinical trials and registries presented at the German Cardiac Society Meeting 2009.Clinical research in cardiology : official journal of the German Cardiac Society · 2009Review
- Relevance of hemostatic risk factors on coronary morphology in patients with diabetes mellitus type 2.Cardiovascular diabetology · 2009Article
- Treatment of patients with diabetes with GLP-1 analogues or DPP-4- inhibitors: a hot topic for cardiologists?Clinical research in cardiology : official journal of the German Cardiac Society · 2009Article
- Abnormal glucose regulation in patients with acute ST- elevation myocardial infarction-a cohort study on 224 patients.Cardiovascular diabetology · 2009Article
- Prevalence of elevated hemoglobin A1c among patients admitted to the hospital without a diagnosis of diabetes.The Journal of clinical endocrinology and metabolism · 2008Article
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundScreening for undiagnosed diabetes in patients with acute myocardial infarction is recommended (ESC and EASD Task Force 2007). Glucose tolerance testing in the peri-infarct period may not be valid because of confounding, e.g. by the acute stress reaction. The aim was to evaluate undiagnosed diabetes (DM) and impaired glucose regulation (IGR) in AMI during hospital stay and 3 months after discharge. MATERIALS AND
methodsIn 96 consecutively admitted AMI patients (Heart Center Wuppertal, Germany) OGTT were performed, of whom in 62 OGTT were also carried out 3 months later.
resultsBefore discharge 32% of the patients had newly diagnosed diabetes and 47% patients had prediabetes (IGR). Glucose tolerance was normal in 20 (21%) patients only. After 3 months, 74% with newly diagnosed DM at baseline still had disturbed glucose metabolism (58% DM, 16% IGT). No patient with normal OGTT became diabetic after 3 months. In multivariate regression, the odds of having diabetes (3 months) was about sixfold higher when having diabetes before discharge (OGTT). Admission glucose, infarction size CK(MAX), and inflammation (CRP) were not significantly related to OGTT results.
conclusionsThis prospective study confirms a high prevalence of undiagnosed DM in patients with AMI. In about 60% of AMI patients, newly diagnosed DM persisted after 3 months. For the first time we could show that there is no correlation between infarction size and undiagnosed diabetes. Thus, an OGTT performed before discharge may provide a reliable measure of disturbed glucose regulation but needs to be repeated.
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