Prognostic value of stress hyperglycemia in acute coronary syndrome for development carbohydrate disorders in future (literature review)
Hyperglycaemia in patients with various critical conditions is common. This problem attracts much attention in the scientific world. There are a large number of scientific papers studying the effect of stress hyperglycemia on outcome of heart disease. Numerous studies have revealed that stress hyperglycemia in patients with acute coronary syndrome is common and is an independent predictor of mortality and morbidity in patients both with and without diabetes mellitus. At present, the question remains: is hyperglycemia in patients with acute coronary syndrome, only a stress response or is it a sign of impaired glucose metabolism. Therefore, a special place in the review is devoted to covering the issue of the relationship between stress hyperglycemia and carbohydrate disorders. This article analyzes the literary information regarding predictive value of stress hyperglycemia in the formation of diabetes in the future. In the scientific world, this theme causes the greatest interest and is the subject of numerous discussions and disputes. In addition, article contains information about the prevalence of hyperglycemia, the mechanisms of carbohydrate disorders under stress. Immunological and biochemical processes are described in the review. Each of these processes has its own negative effect on the pathogenesis of coronary heart disease and acute coronary syndrome.