Original Research Article
Year: 2019 | Month: November | Volume: 6 | Issue: 11 | Pages: 496-499
Association between Serum Lipid Levels and Glycated Haemoglobin in Acute Myocardial Infarction
Dr. Surendra Kumar1, Dr. Pawan Kumar Agarwal2
1Assistant Professor, T.B. & Chest Department, Patna Medical College & Hospital, Patna
2Associate Professor, T.B. & Chest Department, Patna Medical College & Hospital, Patna
Corresponding Author: Dr. Pawan Kumar Agarwal
ABSTRACT
Introduction: Patients who were hospitalized with acute MI 30% of them was having type 2 diabetes. It was also found that a higher morbidity and mortality was observed during acute phase of MI and even in the post infarction period among patients who had uncontrolled diabetes. Glycated Haemoglobin or HbA1c and Serum Lipid levels which are considered as surrogate markers for diabetes mellitus and dyslipidemia may be the main contributory factors for these complications.
Aim: The main objective of the study to find out the association between serum lipid levels and HbA1c and match with the existing findings in this regards.
Methods: This was an observational prospective real world study done in 120 subjects who had admitted in hospital for having acute MI with or without diabetes. After admission to the hospital a detailed patient’s history along with demographic details was taken and serological test to determine serum lipids, HbA1c, cardiac enzymes, was performed along with ECG in all patients. Patients were hereafter grouped in by HbA1c≥7 and HbA1c<7. Statistical analysis was performed by using statistical software.
Results: 62% patients were having poor glycemic control. A direct association or correlation was recognised in between HbA1c and serum lipid levels which include low density lipoproteins levels, total cholesterol, and triglycerides level and also observed indirect correlation with high density lipoproteins levels.
Conclusion: In monitoring long-term glycaemic control, HbA1c not only play a primary role primary role also provide valuable supplementary information regarding extent of circulating lipids.
Key words: Glycated hemoglobin, Serum lipids, Acute Coronary Syndrome, hospitalization.
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