Acute insulin resistance assessed by the homeostatic model assessment in acute coronary syndromes without previously known diabetes

Chiara Lazzeri, Serafina Valente, Marco Chiostri, Paola Attanà, Alessio Mattesini, Gian Franco Gensini

Research output: Contribution to journalArticlepeer-review

Abstract

We assessed the incidence and the prognostic role for early death of acute insulin resistance (by means of homeostatic model assessment [HOMA] index) in 1350 patients with acute coronary syndrome (ACS) consecutively admitted to our intensive cardiac care unit (ICCU). The incidence of HOMA positivity was 5% (68 of 1350), with the highest percentage of HOMA positivity among ST-segment elevation myocardial infarction (STEMI). Patients with HOMA positivity showed a higher body mass index (P =.003), lower values of admission and discharge left-ventricular ejection fraction (LVEF; P

Original languageEnglish
Pages (from-to)519-524
Number of pages6
JournalAngiology
Volume65
Issue number6
DOIs
Publication statusPublished - 2014

Keywords

  • acute coronary syndrome
  • acute insulin resistance
  • early death
  • without previously known diabetes

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Medicine(all)

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