Hyperglycaemia is common in patients with acute myocardial infarction with and without diabetes mellitus. There is a positive relationship between hyperglycaemia at the time of event and highly incidence of mortality and morbidity after acute myocardial infarction. Consequently, understanding the possible mechanisms through which hyperglycaemia worsens the prognosis of acute myocardial infarction, as well as effectiveness of its control during acute myocardial infarction, seems to be a great

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... evance. This study to investigate wether a relationship exists between blood glucose level on admission and cardiac events in non diabetic patients after an acute myocardial infarction. Method, a cohort prospective observational study was done on acute myocardial infarction's patients who were hospitalized in ICCU DR Sardjito's hospital from March 2002 until October 2004. Subject who met inclusion and exclusion criteria were divided into 2 groups, the group in which blood glucose level on admission was ≤ 140 mg/dl and the group with blood glucose on admission was > 140 mg/dl. Cardiac events as well as mortality, cardiac failure, reinfarction and cardiogenic shock were observed for 6 months. There were 95 subjects, 93 males and 2 females. Subjects were divided into 2 groups based on blood glucose's level on admission. 48 subjects in group with blood glucose on admission > 140 mg/dl and 47 subjects with blood glucose on admission ≤ 140 mg/dl. The incidence of cardiac event were higher in the group with hyperglycaemia instead of the group without hyperglycaemia. Survival analysis showed only cardiac failure and mortality were statistically significant with Log rank test p, consecutively = 0,0192 and 0,0084. The conclusion of this study is cardiac events during 6 months observation after an acute myocardial infarction with hyperglycaemia were higher than without hyperglycaemia, eventhough, only cardiac failure and mortality rate which were statistically significant according with blood glucose on admission following acute myocardial infarction.