ASSOCIATION OF ADMISSION INSULIN RESISTANCE INDEX WITH EARLY CARDIAC COMPLICATIONS IN NON DIABETIC PATIENTS WITH ACUTE CORONARY SYNDROME

BACKGROUND AND OBJECTIVE: Insulin resistance is a risk for many cardiovascular diseases that the effect of it on prognosis and etiology is not clear. The aim of this study was to determine the association of admission insulin resistance index (AIRI) with prognosis in non diabetic patients with acute...

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Autores principales:	MT Salehiomran, S Jafari
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2009
Materias:	acute coronary syndrome admission insulin resistance index non diabetic patients Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/75caf890ce0345ff99d6b1d72883b4bd
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spelling	oai:doaj.org-article:75caf890ce0345ff99d6b1d72883b4bd2021-11-10T09:02:27ZASSOCIATION OF ADMISSION INSULIN RESISTANCE INDEX WITH EARLY CARDIAC COMPLICATIONS IN NON DIABETIC PATIENTS WITH ACUTE CORONARY SYNDROME1561-41072251-7170https://doaj.org/article/75caf890ce0345ff99d6b1d72883b4bd2009-01-01T00:00:00Zhttp://jbums.org/article-1-3115-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Insulin resistance is a risk for many cardiovascular diseases that the effect of it on prognosis and etiology is not clear. The aim of this study was to determine the association of admission insulin resistance index (AIRI) with prognosis in non diabetic patients with acute coronary syndrome (ACS).METHODS: This analytical study was done on 90 non diabetic patients with ACS in three groups including UA (unstable angina), STEMI (ST-elevation myocardial infarction) and NSTEMI (Non–ST-elevation myocardial infarction) in CCU ward of Shahid Beheshti hospital, Babol, Iran. The diagnosis of acute myocardial infarction was based on clinical criteria, elevation of cardiac enzyme and ECG (Electrocardiogram) changes. All of patients followed for complications and ejection fraction within 15 days after admission. 5 cc blood was obtained form all patients and insulin level and fasting blood sugar were measured after admission. Other data including history of diabetes, hypertension, smoking, family history, sex and age were recorded for all patients.FINDINGS: The mean age, sex distribution and distribution of cardiac risk factor (smoking, hypertension, hyperlipidemia, coronary artery disease, and family history) did not show significant difference between three groups. The mean of AIRI for NSTEMI, STEMI and UA was 6.9±6.6, 10.5±10.8 and 8.6±8.8, respectively. There was no significant difference between the mean AIRI in patients with complication (7.9±9.1) and without complication (8.7±8.8).CONCLUSION: The results of this study showed that AIRI does not seem suitable for detection of non diabetic ACS patients with left ventricular dysfunction.MT SalehiomranS JafariBabol University of Medical Sciencesarticleacute coronary syndromeadmission insulin resistance indexnon diabetic patientsMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 10, Iss 6, Pp 62-66 (2009)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	acute coronary syndrome admission insulin resistance index non diabetic patients Medicine R Medicine (General) R5-920
spellingShingle	acute coronary syndrome admission insulin resistance index non diabetic patients Medicine R Medicine (General) R5-920 MT Salehiomran S Jafari ASSOCIATION OF ADMISSION INSULIN RESISTANCE INDEX WITH EARLY CARDIAC COMPLICATIONS IN NON DIABETIC PATIENTS WITH ACUTE CORONARY SYNDROME
description	BACKGROUND AND OBJECTIVE: Insulin resistance is a risk for many cardiovascular diseases that the effect of it on prognosis and etiology is not clear. The aim of this study was to determine the association of admission insulin resistance index (AIRI) with prognosis in non diabetic patients with acute coronary syndrome (ACS).METHODS: This analytical study was done on 90 non diabetic patients with ACS in three groups including UA (unstable angina), STEMI (ST-elevation myocardial infarction) and NSTEMI (Non–ST-elevation myocardial infarction) in CCU ward of Shahid Beheshti hospital, Babol, Iran. The diagnosis of acute myocardial infarction was based on clinical criteria, elevation of cardiac enzyme and ECG (Electrocardiogram) changes. All of patients followed for complications and ejection fraction within 15 days after admission. 5 cc blood was obtained form all patients and insulin level and fasting blood sugar were measured after admission. Other data including history of diabetes, hypertension, smoking, family history, sex and age were recorded for all patients.FINDINGS: The mean age, sex distribution and distribution of cardiac risk factor (smoking, hypertension, hyperlipidemia, coronary artery disease, and family history) did not show significant difference between three groups. The mean of AIRI for NSTEMI, STEMI and UA was 6.9±6.6, 10.5±10.8 and 8.6±8.8, respectively. There was no significant difference between the mean AIRI in patients with complication (7.9±9.1) and without complication (8.7±8.8).CONCLUSION: The results of this study showed that AIRI does not seem suitable for detection of non diabetic ACS patients with left ventricular dysfunction.
format	article
author	MT Salehiomran S Jafari
author_facet	MT Salehiomran S Jafari
author_sort	MT Salehiomran
title	ASSOCIATION OF ADMISSION INSULIN RESISTANCE INDEX WITH EARLY CARDIAC COMPLICATIONS IN NON DIABETIC PATIENTS WITH ACUTE CORONARY SYNDROME
title_short	ASSOCIATION OF ADMISSION INSULIN RESISTANCE INDEX WITH EARLY CARDIAC COMPLICATIONS IN NON DIABETIC PATIENTS WITH ACUTE CORONARY SYNDROME
title_full	ASSOCIATION OF ADMISSION INSULIN RESISTANCE INDEX WITH EARLY CARDIAC COMPLICATIONS IN NON DIABETIC PATIENTS WITH ACUTE CORONARY SYNDROME
title_fullStr	ASSOCIATION OF ADMISSION INSULIN RESISTANCE INDEX WITH EARLY CARDIAC COMPLICATIONS IN NON DIABETIC PATIENTS WITH ACUTE CORONARY SYNDROME
title_full_unstemmed	ASSOCIATION OF ADMISSION INSULIN RESISTANCE INDEX WITH EARLY CARDIAC COMPLICATIONS IN NON DIABETIC PATIENTS WITH ACUTE CORONARY SYNDROME
title_sort	association of admission insulin resistance index with early cardiac complications in non diabetic patients with acute coronary syndrome
publisher	Babol University of Medical Sciences
publishDate	2009
url	https://doaj.org/article/75caf890ce0345ff99d6b1d72883b4bd
work_keys_str_mv	AT mtsalehiomran associationofadmissioninsulinresistanceindexwithearlycardiaccomplicationsinnondiabeticpatientswithacutecoronarysyndrome AT sjafari associationofadmissioninsulinresistanceindexwithearlycardiaccomplicationsinnondiabeticpatientswithacutecoronarysyndrome
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ASSOCIATION OF ADMISSION INSULIN RESISTANCE INDEX WITH EARLY CARDIAC COMPLICATIONS IN NON DIABETIC PATIENTS WITH ACUTE CORONARY SYNDROME

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