HUBUNGAN KADAR GLUKOSA DARAH SEBAGAI FAKTOR PREDIKTOR KEMATIAN PADA PENDERITA INFARK MIOKARD AKUT DENGAN DIABETES MELLITUS

Program Studi Pendidikan Dokter, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta, 2Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta
Abstract
Background : Acute Myocardial Infarction (AMI) is the the first cause of mortality in Indonesia. The incidence of AMI depends on the risk of atheroschlerosis, one of them is diabetes mellitus (DM). In DM's patient, blood glucose level will increase and some research reported the correlation of glucose abnormal with mortality, but it's not clear.
Design : This research used cross sectional method by looked at the medical record datas 2006-2011 in hospital during Juni-Oktober 2011. There are 70 cases which diagnosed as AMI with DM, but only 38 cases which fulfilled inclusion and exclusion criterias. Patients divided into 2 groups depend on the blood glucose level on admission, group 1 (<200 mg/dL), group 2 (5 200mg/dL). We also looked out the patient's outcome and divided into 2 groups, recovered and dead.
Result : chi square analysis does not show a significant correlation between blood glucose level with death in AMI with DM patients (p = 0.653, PR=2.4, CI=0.354- 16.258). Laboratory examination also did not show a significant difference of mean except for leucocyte count.
Conclusion: Blood glucose level has no correlation with death in AMI with DM, so it can't used as predictor factor of death in patients AMI with DM
rpvvvrird - AM! DM blood glucose, death