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Missed Opportunities for Screening and Management of Dysglycemia among Patients Presenting with Acute Myocardial Infarction in North India: The Prospective NORIN STEMI Registry Cover

Missed Opportunities for Screening and Management of Dysglycemia among Patients Presenting with Acute Myocardial Infarction in North India: The Prospective NORIN STEMI Registry

Open Access
|Aug 2022

Figures & Tables

Table 1

Selected Baseline Demographic and Clinical Characteristics of Included NORIN STEMI Participants, by Glycemic Status.

EUGLYCEMIC (N = 1592)PREDIABETES (N = 737)NEWLY DETECTED DIABETES MELLITUS (N = 339)ESTABLISHED DIABETES MELLITUS (N = 855)
Demographic characteristics
Age, median (IQR), y53 (45–60)55 (45–62)54 (45–60)58 (50–64)
Women, N (%)204 (13%)103 (14%)46 (14%)215 (25%)
BMI,a N (%)
Underweight49 (3%)12 (2%)12 (4%)14 (2%)
Normal743 (47%)283 (38%)130 (38%)357 (42%)
Overweight633 (40%)363 (49%)153 (45%)369 (43%)
Obese167 (11%)79 (11%)44 (13%)115 (14%)
Hypertension330 (21%)132 (18%)72 (21%)488 (57%)
Atrial fibrillation25 (2%)13 (2%)12 (4%)26 (3%)
Heart failure10 (1%)7 (1%)3 (1%)16 (2%)
Hyperlipidemia22 (1%)6 (1%)3 (1%)46 (5%)
Prior stroke16 (1%)9 (1%)4 (1%)14 (2%)
Prior myocardial infarction148 (9%)107 (15%)62 (18%)120 (14%)
Tobacco use, N (%)
Never526 (33%)259 (35%)111 (33%)419 (49%)
Former127 (8%)52 (7%)21 (6%)66 (8%)
Current—some days60 (4%)13 (2%)8 (2%)19 (2%)
Current—every day879 (55%)413 (56%)199 (59%)349 (41%)
Education, N (%)
Illiterate771 (48%)409 (56%)199 (59%)413 (48%)
Middle School470 (30%)168 (23%)60 (18%)223 (26%)
High School242 (15%)116 (16%)55 (16%)133 (16%)
College Graduate109 (7%)44 (6%)25 (7%)86 (10%)
Aspirin141 (9%)82 (11%)42 (12%)117 (14%)
Statin140 (9%)81 (11%)40 (12%)118 (14%)

[i] Abbreviations: BMI, body mass index.

a Calculated as weight in kilograms divided by height in meters squared.

Figure 1

Results of Protocolized Inpatient HbA1c Screening among Patients Presenting with STEMI in North India, by Baseline Glycemic Status.

Abbreviations: DM, diabetes mellitus; HbA1c, glycated hemoglobin; STEMI, ST-segment elevation myocardial infarction.

The left panel represents the glycemic status of NORIN STEMI participants, before and after protocolized inpatient HbA1c screening. The panel to the right shows the distribution of HbA1c levels of NORIN STEMI participants without known dysglycemia at the time of presentation. Established diabetes was defined as a self-reported history of diabetes or clinical history by chart review. Euglycemia was defined as screening HbA1c <5.7%. Prediabetes and diabetes were defined as screening HbA1c 5.7–6.4% and ≥6.5%, respectively.

Figure 2

Clinical Outcomes of Patients Presenting with STEMI in North India, by Glycemic Status.

Abbreviations: HF, heart failure; LV, left ventricle; MI, myocardial infarction.

All models included adjustment for age, sex, body mass index, tobacco use, history of hypertension, heart failure, prior MI, and prior stroke.

DOI: https://doi.org/10.5334/gh.1140 | Journal eISSN: 2211-8179
Language: English
Submitted on: Apr 5, 2022
Accepted on: Jul 16, 2022
Published on: Aug 12, 2022
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2022 John W. Ostrominski, Muthiah Vaduganathan, Meennahalli Palleda Girish, Puneet Gupta, Michael J. Hendrickson, Arman Qamar, Sameer Arora, Ambarish Pandey, Ankit Bansal, Vishal Batra, Bhawna Mahajan, Saibal Mukhopadhyay, Jamal Yusuf, Sanjay Tyagi, Deepak L. Bhatt, Mohit D. Gupta, NORIN STEMI Investigators, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.