HbA1C: IS IT READY AS A PRIMETIME TOOL FOR PREDICTING MYOCARDIAL INFARCTION?

Abstract

Author(s): Harish R*, Shashidhar K.N, Lakshmaiah V, Esha Mati

HbA1c is regarded as an independent risk factor for acute myocardial infarction in patients with or without diabetes. However, studies regarding HbA1c and increased risk of acute myocardial infarction (AMI) are scarce. The present study is a case control study in which glycated hemoglobin, fasting and postprandial blood glucose; and fasting lipid profile were estimated in all subjects. Though HbA1c helped distinguish between stress induced hyperglycemia and diabetes mellitus, it failed to predict risk of myocardial infarction. More longitudinal and prospective studies in rural areas of India are needed to establish causal relationship so that HbA1c can be used as a prime time tool in clinical evaluation of myocardial infarction.