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Evaluation of admission blood glucose on in-hospital mortality in patients with acute coronary syndromes admitted in Cardiac Care Unit

Evaluation of admission blood glucose on in-hospital mortality in patients with acute coronary syndromes admitted in Cardiac Care Unit BlaGm
Coronary Artery Disease (CAD) is one of the crucial causes of death in the world. Various factors are involved in the incidence of CAD and its mortality. Diabetes is one of the risk factors of Acute Coronary Syndromes (ACS). The aim of this study was to evaluate the impact of Blood Glucose on admission on mortality rate of the patients with ACS. Methods: This cross-sectional descriptive study was performed on 246 consecutive patients admitted to the cardiac intensive care unit of Amir Al-Momenin Hospital in Zabol. Patients were divided into two groups based on their admission time blood glucose: First group with blood sugar ≥ 200 mg/dl and second group with blood glucose Less than 200 mg /dl. The rate of cardiovascular morbidity and mortality during hospitalization were compared in the two groups. Data were collected and analyzed using questionnaires and finally analyzed by version 22 of SPSS software. Results: Out of 246 consecutive patients with a mean age of 62. 8 ± 6. 5, 166 (67. 5%) were male, 106 (43%) patients were in the first group with blood glucose ≥ 200 mg /dl. The frequency of Male gender, History of hypertension and ischemic heart disease, high blood pressure on admission, Body Mass Index, total Cholesterol, LDL and serum Troponin level, ischemic changes on Electrocardiogram in the first group was higher than the second group. Furthermore, Ejection Fraction in the first group was lower. Major Adverse Cardiovascular Events like Acute Heart Failure, Cardiogenic shock, Stroke, and in-hospital mortalities were significantly higher in the high-glucose group. In the first group, previous history of Diabetes had no meaningful impact on the mortality rate. Conclusions: The presence of high blood glucose on admission are associated with elevated Cardiac Troponin I, ischemic changes on ECG, lower LVEF, and also increased major cardiovascular adverse events such as cardiogenic shock, stroke and death. Besides, high blood pressure and hyperlipidemia were more common in this group. Therefore, preventive measures such as regular screening of at-risk population and early diagnosis and treatment of diabetes can prevent cardiovascular complications such as acute coronary syndromes and their mortalities and avoid imposing more economic, social and medical burden on societies.
Coronary Artery Disease (CAD) is one of the crucial causes of death in the world. Various factors
are involved
in the incidence of CAD and its
You use this word too often, consider replacing it with
mortality
. Diabetes is one of the
This phrase/word (depending on the context) can be potentially replaced with :
risk
factors of Acute Coronary Syndromes (ACS). The aim of this study was to evaluate the impact of
You use this word too often, consider replacing it with
Blood
Glucose on
You use this word too often, consider replacing it with
admission
on
You use this word too often, consider replacing it with
mortality
rate of the
You use this word too often, consider replacing it with
patients
with ACS.

Methods: This cross-sectional descriptive study
was performed
on 246 consecutive
You use this word too often, consider replacing it with
patients
admitted to the cardiac intensive care unit of Amir
Possible spelling mistake found.
Al-Momenin
Hospital in
Possible spelling mistake found.
Zabol
.
You use this word too often, consider replacing it with
Patients
were divided
into two
You use this word too often, consider replacing it with
groups
based on their
You use this word too often, consider replacing it with
admission
time
You use this word too often, consider replacing it with
blood
glucose:
You use this word too often, consider replacing it with
First
You use this word too often, consider replacing it with
group
with
You use this word too often, consider replacing it with
blood
sugar ≥ 200 mg/
Possible spelling mistake found.
dl
and second
You use this word too often, consider replacing it with
group
with
You use this word too often, consider replacing it with
blood
glucose Less than 200 mg /
Possible spelling mistake found.
dl
. The rate of cardiovascular morbidity and
You use this word too often, consider replacing it with
mortality
during hospitalization
were compared
in the two
You use this word too often, consider replacing it with
groups
. Data
were collected
and analyzed using questionnaires and
finally
analyzed by version 22 of
Possible spelling mistake found.
SPSS
software.

Results: Out of 246 consecutive
You use this word too often, consider replacing it with
patients
with a mean age of 62. 8 ± 6. 5, 166 (67. 5%) were male, 106 (43%)
You use this word too often, consider replacing it with
patients
were in the
You use this word too often, consider replacing it with
first
You use this word too often, consider replacing it with
group
with
You use this word too often, consider replacing it with
blood
glucose ≥ 200 mg /
Possible spelling mistake found.
dl
. The frequency of Male gender, History of hypertension and ischemic heart disease, high
You use this word too often, consider replacing it with
blood
pressure on
You use this word too often, consider replacing it with
admission
, Body Mass Index, total Cholesterol, LDL and serum Troponin level, ischemic
This phrase/word (depending on the context) can be potentially replaced with :
changes
on Electrocardiogram in the
You use this word too often, consider replacing it with
first
You use this word too often, consider replacing it with
group
was higher than the second
You use this word too often, consider replacing it with
group
.
Furthermore
, Ejection Fraction in the
You use this word too often, consider replacing it with
first
You use this word too often, consider replacing it with
group
was lower. Major Adverse Cardiovascular
This phrase/word (depending on the context) can be potentially replaced with :
Events
like Acute Heart Failure, Cardiogenic shock, Stroke, and in-hospital
Possible spelling mistake found.
mortalities
were
significantly
higher in the high-glucose
You use this word too often, consider replacing it with
group
. In the
You use this word too often, consider replacing it with
first
You use this word too often, consider replacing it with
group
, previous history of Diabetes had no meaningful impact on the
You use this word too often, consider replacing it with
mortality
rate.

Conclusions: The presence of high
You use this word too often, consider replacing it with
blood
glucose on
You use this word too often, consider replacing it with
admission
are associated
with elevated Cardiac Troponin I, ischemic
This phrase/word (depending on the context) can be potentially replaced with :
changes
on ECG, lower LVEF, and
also
increased major cardiovascular adverse
This phrase/word (depending on the context) can be potentially replaced with :
events
such as cardiogenic shock, stroke and death.
Besides
, high
You use this word too often, consider replacing it with
blood
pressure and hyperlipidemia were more common in this
You use this word too often, consider replacing it with
group
.
Therefore
, preventive measures such as regular screening of at-
This phrase/word (depending on the context) can be potentially replaced with :
risk
population and early diagnosis and treatment of diabetes can
This phrase/word (depending on the context) can be potentially replaced with :
prevent
cardiovascular complications such as acute coronary syndromes and their
Possible spelling mistake found.
mortalities
and avoid imposing more economic, social and medical burden on societies.
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IELTS essay Evaluation of admission blood glucose on in-hospital mortality in patients with acute coronary syndromes admitted in Cardiac Care Unit

Essay
  American English
4 paragraphs
360 words
5.5
Overall Band Score
Coherence and Cohesion: 5.0
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Lexical Resource: 5.0
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Grammatical Range: 6.5
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Task Achievement: 5.0
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    Present relevant ideas
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