M.  Yokesh, R.V.  Mookambika, 
    A Study on Prognostic Value of Admission Glycosylated Hemoglobin and Blood Glucose in Nondiabetic Patients with ST‐Segment Elevation Myocardial Infarction,
    Research Journal of Medical Sciences,
    Volume 19,Issue 3,
    2025,
    Pages 78-82,
    ISSN 1815-9346,
    makrjms.2025.3.78.82,
    (https://makhillpublications.co/view-article.php?doi=makrjms.2025.3.78.82)
    Abstract: <p style="text-align:justify">In nondiabetic patients, HbA1c could be utilised for risk stratification of CAD and its severity., independent of traditional cardiovascular risk factors. These factors aroused curiosity which led into this study which probes into the prognostic significance of glycated haemoglobin and admission RBS in non‐diabetics admitted with acute STEMI. A total of 127 patients were admitted in the ICU with STEMI during the study period, out of which only 50 patients met the inclusion criteria. Fifty non‐diabetic patients admitted in the intensive care medicine unit with acute ST elevation MI diagnosed with 12 lead electrocardiogram were selected for the study. Among 12 patients with shock, 7 had anterior wall STEMI (58.3%) and 5 had inferior wall STEMI (41.7%) Among 15 patients with cardiac failure, 9 had anterior wall STEMI (60%) and 6 had inferior wall STEMI (40%) Two patients with pulmonary edema, one had anterior wall and one had inferior wall STEMI. 11 patients with arrhythmias, 1 had hyperglycemia (9.1%), 9 hadnormal glycemic status (81.8%) and 1 had hypoglycemia (9.1%). With the above primary data, analysis was done. Occurrence of cardiac failure was more in patients with elevated admission blood glucose &gt;200mg/dl but not the other complications. Prior history of alcoholism was significantly more seen in the diabetic group. Admission blood glucose correlates well only with HbA1c in predicting Diabetes in the study population but not normoglycemia or prediabetic state.</p>

    Keywords: ST segment elevation myocardia; l infarction; intensive care unit; glycated hemoglobin