scholarly journals Importance of Investigating Mild Hyperglycaemia Using Oral Glucose Tolerance Test in the Setting of Acute Coronary Syndrome: Prospective Investigational Study

2013 ◽  
pp. 1-8
Author(s):  
Ajith Dissanayake ◽  
Norman Quek ◽  
Irene Zeng ◽  
Andrew Kerr
2010 ◽  
Vol 63 (3) ◽  
pp. 374-375
Author(s):  
Manuel F. Jiménez-Navarro ◽  
Jesús M. de la Hera-Galarza ◽  
Maria J. Molina-Mora ◽  
Ernesto Hernández-Martín

PLoS ONE ◽  
2017 ◽  
Vol 12 (8) ◽  
pp. e0183839 ◽  
Author(s):  
Thorarinn A. Bjarnason ◽  
Steinar O. Hafthorsson ◽  
Linda B. Kristinsdottir ◽  
Erna S. Oskarsdottir ◽  
Thor Aspelund ◽  
...  

2018 ◽  
Vol 25 (5) ◽  
pp. 464-471 ◽  
Author(s):  
Sopio Tatulashvili ◽  
Bénédicte Patois-Vergès ◽  
Amandine Nguyen ◽  
Marie-Cécile Blonde ◽  
Bruno Vergès

Introduction Diabetes and pre-diabetes are highly prevalent in patients with a history of acute coronary syndrome. This is why screening for glucose metabolism disorders is recommended in patients following an acute coronary syndrome. The aim of our study was to determine whether glycated haemoglobin alone compared with the oral glucose tolerance test could allow effective screening for glucose metabolism disorders in acute coronary syndrome patients undergoing cardiac rehabilitation. Patients and methods Among 347 patients with a recent history of acute coronary syndrome enrolled in our cardiac rehabilitation centre, 267 patients without previously known diabetes were recruited for this prospective study with performance of both oral glucose tolerance test and glycated haemoglobin measurement. The patients were divided into three groups: newly diagnosed diabetes mellitus, pre-diabetes and normoglycaemia according to the oral glucose tolerance test and glycated haemoglobin results. The results obtained with glycated haemoglobin were compared with those obtained with the oral glucose tolerance test, considered as the reference. Results For the diagnosis of diabetes, glycated haemoglobin had a sensitivity of 72% and a specificity of 100%. Positive and negative predictive values were high at 100% and 96%, respectively. However, for the diagnosis of pre-diabetes the sensitivity of glycated haemoglobin was low at 64% as were the specificity (53%) and the positive predictive values (37%). Glycated haemoglobin overdiagnosed pre-diabetes (52% vs 30%, p < 0.0001). For the diagnosis of normoglycaemia, the sensitivity of glycated haemoglobin was also low (48%). Conclusion According to our study, glycated haemoglobin has low sensitivity and specificity for the detection of pre-diabetes in patients with coronary disease enrolled in cardiac rehabilitation, and glycated haemoglobin over-diagnoses pre-diabetes in comparison with the oral glucose tolerance test.


2005 ◽  
Vol 11 ◽  
pp. 28
Author(s):  
Fanny Rodriguez Vallejo ◽  
Juan Manuel Rios Torres ◽  
Francisco J. Gomez-Pérez ◽  
Juan A. Rull Rodrigo ◽  
Bernardo Pérez Enriquez

2016 ◽  
Author(s):  
Zivkovic Teodora Beljic ◽  
Biljana Jojic ◽  
Jelic Marina Andjelic ◽  
Goran Loncar ◽  
Aleksandar Davidovic ◽  
...  

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