Under supervision of Dr. Lubna Farag, Prof. of Internal Medicine, and Dr. Salah
Abdel-Azim Aarjoun, Associate Professor of Internal Medicine, Physician, Ahmed
Bahiey-Eldeen Ahmed, Assistant Lecturer of internal medicine, defended his
Doctoral Dissertation on the impact of hyperglycemia in the intensive care on
the reshaping of the left ventricle after myocardial infarction (Heart Attack).
The study also aims at comparing the traditional treatment to the treatment with
intensive insulin to restore normal blood glucose level.
The
research was conducted on 122 patients with acute infarction, divided according
to the level of blood glucose; those of diabetic history. Samples were divided
into a group of normal glucose level; a group of glucose level ranging above 140
mg/dl but having no diabetic history; and a diabetic group. An ultrasonic
diagramming of the heart muscle was undertaken from the date of admission
throughout the 12 months of follow up. Results of the study evidenced the
existence of a relationship between the glucose level at the time of admission
to the intensive care during the occurrence of myocardial infarction and the
reshaping of the left ventricle irrespective of any prior diabetic history, but
the study did not trace any better effect of using intensive insulin than the
use of traditional treatment methods.
Heart Attacks of Patients with Diabetes: A Study in Assiut University