Stress hyperglycaemia and rehospitalisation: a review
Ischemia with no obstructive coronary arteries, INOCA, is often found in patients suffering with angina. Yet, despite how common it is, the risk factors for being rehospitalised for chest pains with INOCA are generally unknown. This study, performed on 2,874 patients, explored the impact of the stress hyperglycemia ratio as a risk factor. The stress hyperglycemia ratio is the ratio of blood glucose and HbA1c. Patients were followed up for a year. It was found that those with a ratio of above 1 were significantly more likely to be at risk of rehospitalisation for chest pains than those with a lower ratio. This finding was confirmed through the adjustment of various confounders, such as blood pressure, cholesterol and age.
This review by Mone P et al. aimed to understand the impact of the stress hyperglycemia ratio as a risk factor for rehospitalisation of patients with INOCA suffering from chest pain.
Stress hyperglycaemia was found to have a significant effect on the risk of rehospitalisation for chest pain in patients with ischemia with no obstructive coronary arteries. Further research into other risk factors will provide useful information for clinicians to better manage ischemic patients