الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Acute Coronary Syndrome (ACS) is a leading cause of death worldwide. In addition to the other classic risk factors of CAD (smoking, male sex, hypercholesterolemia, and hypertension), diabetes is recognized as an important risk factor for coronary artery disease (CAD) and ACS. A body of information is now available suggests the need for a careful consideration not only of diabetes, but also of other disturbances of glucose metabolism, such as impaired glucose tolerance (IGT) and impaired fasting glucose (IFG), that have emerged as independent risk factors for cardiovascular disease mortality. Moreover, several prospective studies have shown a significant correlation between glycemic variables and morbidity from coronary heart disease in patients with normal glucose tolerance. This study was conducted on 400 patients admitted with STEMI and treated with primary PCI at cardiovascular medicine department Tanta university hospitals within 12 months starting from November 2021. This study aimed to detect relationship between admission hyperglycemia and in-hospital MACEs. We found that hyperglycemia on admission even in the absence of diabetes mellitus is a significant predictor of adverse outcome. High admission blood glucose associated with more LV systolic dysfunction. In addition recurrent anginal attacks, arrhythmias and cardiogenic shock were also more frequent among those patients.