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Medicina crítica (Colegio Mexicano de Medicina Crítica)
Print version ISSN 2448-8909
Abstract
MARTINEZ SALDANA, Abad; MENDOZA RODRIGUEZ, Martín and LOPEZ GONZALEZ, Alfonso. Leuko-glycemic index and complications in patients with acute coronary syndrome. Med. crít. (Col. Mex. Med. Crít.) [online]. 2018, vol.32, n.1, pp.27-33. Epub Aug 30, 2021. ISSN 2448-8909.
Objective:
To evaluate the association of the leuko-glycemic index and complications in patients with acute coronary syndrome (ACS).
Material and methods:
A descriptive, cross-sectional, retrospective study was performed in 34 patients diagnosed with acute coronary syndrome, ACS: acute myocardial infarction with ST segment elevation, acute myocardial infarction without ST segment elevation and unstable angina, who entered the Intensive Care Unit from May 1, 2016 to May 31, 2017. Clinical data were recorded during the first 72 hours of the event, as well as the laboratory results, which included glycemia and leukocyte count at admission. From these data, the leukoglycemic index was calculated and its prognostic value was evaluated by the use of the χ 2 test.
Results:
The leuko-glycemic index was applied to the population under study and four groups were formed according to the classification obtained: grade I, 0-800 points; grade II, 801-1600 points; grade III, 1601-2400 points; and grade IV, more than 2400 points. The highest prevalence was found in group 2 (800-1601 points), with 38.24%, followed by group 4 (> 2400 points), with 35.29%. The mortality at 72 hours was 23.53%. Arrhythmias occurred in 50% of the cases.
Conclusions:
There was no statistically significant correlation (p > 0.05) between the leuko-glycemic index and complications.
Keywords : ACS; leuko-glycemic index.