More than 10 percent of heart attack patients may have undiagnosed diabetes

American Heart Association meeting report abstract 4

2014-06-03

(Press-News.org) At least 10 percent of people who have a heart attack may have undiagnosed diabetes, according to new research presented at the American Heart Association's Quality of Care and Outcomes Research Scientific Sessions 2014.

Researchers studied data on 2,854 heart attack patients who did not have a known diagnosis of diabetes in 24 U.S. hospitals to understand the prevalence and recognition of undiagnosed diabetes. They tested the patients' A1C levels, which is a standard test to determine blood sugar levels for the past 2-3 months.

Researchers found: Among the patients, 287 (10.1 percent) were newly diagnosed with diabetes based on the A1C test during their treatment for heart attack. Less than a third of the 287 patients received diabetes education or medication upon discharge from the hospital. Doctors failed to recognize diabetes in 198 (69 percent) of the previously undiagnosed patients. They were 17 times more likely to recognize patients' diabetes if they checked the A1C test results during the heart attack, and even more likely the higher the test levels. Six months after discharge, less than 7 percent of those who weren't recognized as having diabetes during their hospital stay had started medication for the disease, compared to 71 percent of those whose diagnosis was recognized.

Diabetes, which causes blood sugar to reach dangerous levels, significantly raises the risk for heart attack. Two out of three people with diabetes die from cardiovascular disease, according to the American Heart Association statistics.

"Diagnosing diabetes in patients who have had a heart attack is important because of the role diabetes plays in heart disease," said Suzanne V. Arnold, M.D., M.H.A., the study's lead author and assistant professor at Saint Luke's Mid America Heart Institute and the University of Missouri at Kansas City. "By recognizing and treating diabetes early, we may be able to prevent additional cardiovascular complications through diet, weight loss and lifestyle changes in addition to taking medications. Another important reason to diagnose diabetes at the time of heart attack is that it can guide the treatments for the patient's coronary artery disease."

People who have a heart attack should ask for a diabetes test if they have a family history of the disease or other risk factors such as overweight/obesity, physical inactivity, and high blood pressure. Those already diagnosed with diabetes should also ask for more information on the disease and how to manage it.

INFORMATION: Co-authors are Joshua M. Stolker, M.D.; Kasia J. Lipska, M.D., M.H.S.; Yan Li, Ph.D.; John A. Spertus, M.D., M.P.H.; Darren K. McGuire, M.D., M.Sc.; Silvio E. Inzucchi, M.D.; Abhinav Goyal, M.D., M.H.S.; Thomas M. Maddox, M.D., M.Sc.; Marcus Lind, M.D.; Supriya Shore, M.D.; and Mikhail Kosiborod, M.D. Author disclosures are on the abstract.

The National Institutes of Health, National Heart, Lung, and Blood Institute and Genentech Inc. funded the study.

Additional Resources: Diabetes Tools and Resources Researcher photo and heart attack animation are available on the right column of this news release link http://newsroom.heart.org/news/more-than-10-percent-of-heart-attack-patients-may-have-undiagnosed-diabetes?preview=9e837526e508827d8be49ee7938cfa19 Follow AHA/ASA news on Twitter @HeartNews #QCOR14.

NOTE: Presentation is 11:45 a.m. ET Tuesday, June 3, 2014.

Statements and conclusions of study authors presented at American Heart Association scientific meetings are solely those of the study authors and do not necessarily reflect the association's policy or position. The association makes no representation or guarantee as to their accuracy or reliability. The association receives funding primarily from individuals; foundations and corporations (including pharmaceutical, device manufacturers and other companies) also make donations and fund specific association programs and events. The association has strict policies to prevent these relationships from influencing the science content. Revenues from pharmaceutical and device corporations are available at http://www.heart.org/corporatefunding.

For Media Inquiries: (214) 706-1173

Michael Burton: (214) 706-1236; michael.burton@heart.org

Cathy Lewis: (214) 706-1324; cathy.lewis@heart.org

Julie Del Barto (broadcast): (214) 706-1330; julie.delbarto@heart.org

For Public Inquiries: (800) AHA-USA1 (242-8721)

http://www.heart.org and http://www.strokeassociation.org

ELSE PRESS RELEASES FROM THIS DATE:

Chinese stroke patients fare better when hospitals follow guidelines

2014-06-03

Chinese stroke patients were less likely to acquire pneumonia or die from the stroke when hospitals followed treatment guidelines, according to research presented at the American Heart Association's Quality of Care and Outcomes Research Scientific Sessions 2014. Closer adherence to the American Heart Association/American Stroke Association's Get With The Guidelines®-Stroke led to a drop in pneumonia from 20 percent to almost 5 percent. However, only 55.5 percent of patients received all guideline-recommended treatments for which they were eligible. Developed with ...

Vanishing da Vinci

2014-06-03

WASHINGTON D.C. June 3, 2014 -- One of Leonardo da Vinci's masterpieces, drawn in red chalk on paper during the early 1500s and widely believed to be a self-portrait, is in extremely poor condition. Centuries of exposure to humid storage conditions or a closed environment has led to widespread and localized yellowing and browning of the paper, which is reducing the contrast between the colors of chalk and paper and substantially diminishing the visibility of the drawing. A group of researchers from Italy and Poland with expertise in paper degradation mechanisms was tasked ...

Just add water: 3-D silicon shapes fold themselves when wetted by microscopic droplets

2014-06-03

VIDEO: This video shows how a flat design folds into a cube with the addition of water. The researchers can fold and unfold the cube multiple times without wear, as... Click here for more information. WASHINGTON D.C. June 3, 2014 -- Researchers from the University of Twente in the Netherlands have taken the precise art of origami down to the microscopic scale. Using only a drop of water, the scientists have folded flat sheets of silicon nitride into cubes, pyramids, half soccer-ball-shaped ...

Rice University produces carbon-capture breakthrough

2014-06-03

HOUSTON – (June 3, 2014) – Rice University scientists have created an Earth-friendly way to separate carbon dioxide from natural gas at wellheads. A porous material invented by the Rice lab of chemist James Tour sequesters carbon dioxide, a greenhouse gas, at ambient temperature with pressure provided by the wellhead and lets it go once the pressure is released. The material shows promise to replace more costly and energy-intensive processes. Results from the research appear today in the journal Nature Communications. Natural gas is the cleanest fossil fuel. Development ...

Opioid overdose prevention programs may reduce deaths, reports Journal of Addiction Medicine

2014-06-03

June 3, 2014 – Community opioid overdose prevention programs (OOPPs)—including the use of naloxone for rapid drug reversal—can improve bystander responses to overdose of heroin and related drugs, according to a review in the June Journal of Addiction Medicine, the official journal of the American Society of Addiction Medicine. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health . Based on the available evidence, "Bystanders (mostly opioid users) can and will use naloxone to reverse opioid overdoses when properly trained, and…this ...

Prototype electrolyte sensor to provide immediate read-outs

2014-06-03

ALBUQUERQUE, N.M. — Patients trying to navigate today's complex medical system with its costly laboratory analyses might prefer a pain-free home diagnostic device, worn on the wrist, that can analyze, continuously record and immediately remedy low electrolyte levels. Runners, athletes in other strenuous sports and soldiers on long missions also might prefer immediate knowledge of their electrolytic states as an aid to improved performance. Electrolytes such as potassium, calcium, magnesium and other salts are key in carrying nerve impulses that tell the heart and other ...

Climate change at the movies

2014-06-03

Research published in the International Journal of Sustainable Development suggests that purportedly entertaining films that feature global warming and climate change can affect public understanding. But films are often bound up in problematic and limiting identity politics, which commonly reiterate racial, gender and sexual stereotypes positioning as they do white men as being the decision makers and the voice of authority. Bridie McGreavy and Laura Lindenfeld of the Department of Communication and Journalism at the University of Maine, have analyzed three films that ...

NASA infrared imagery sees heavy rain potential in Tropical Depression 2E

2014-06-03

NASA's Aqua satellite captured an infrared image of Tropical Depression 2E that revealed high, very cold cloud top temperatures. Strong thunderstorms with cold cloud top temperatures that reach high into the troposphere have the potential to drop heavy rainfall amounts, and the National Hurricane Center has forecast large rainfall for the southern region of Mexico over the next couple of days. A Tropical Storm Warning is in effect for Salina Cruz to the Mexico and Guatemala border as the depression remained stationary near the southwestern coast of Mexico on June 3. NASA's ...

Farmers markets inspire WIC moms, but grocery-store produce costs less!

2014-06-03

URBANA, Ill. – When participants in a local Women, Infants, and Children (WIC) program received vouchers for fruits and vegetables at area farmers markets, they ate a greater variety of vegetables and more often chose fruits or vegetables as snacks. But a survey comparing prices at grocery stores and farmers markets showed that better produce prices could be found in local supermarkets, says a new University of Illinois study. "The biggest effect the vouchers had was related to the quality of participants' diets. Those who used the farmers market vouchers ate a greater ...

NIH task force proposes standards for research on chronic low back pain

2014-06-03

June 3, 2014 - Standardized research methods are needed to make greater progress toward reducing the high burden and costs of chronic low back pain (cLBP), according to a Task Force report in the June 15 issue of Spine. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health. The article introduces a set of proposed research standards to help in comparing the results of cLBP studies. The recommendations were developed by a Research Task Force convened by the NIH Pain Consortium. The Task Force co-chairs were Drs Richard A. Deyo of ...

Analysis of the disease spectrum characteristics of inherited metabolic liver diseases in two hepatology specialist hospitals in Beijing over the past 20 years

More than 10 percent of heart attack patients may have undiagnosed diabetes

ELSE PRESS RELEASES FROM THIS DATE:

LAST 30 PRESS RELEASES: