Impact of Admission Hyperglycemia on In-hospital arrhythmia in medical critical illness

January 1, 2026Mansoura Medical JournalOpen Access

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Key Points

The study investigates the relationship between admission hyperglycemia and the occurrence of arrhythmic events in critically ill patients.
Conducted a prospective study with 354 ICU patients, divided into hyperglycemia (group A) and normoglycemia (group B).
Performed continuous ECG monitoring and clinical assessments including SOFA score and Charlson Comorbidity Index.
Reported arrhythmic events within the first 24 hours of admission.
Arrhythmias occurred significantly more in hyperglycemic patients (26.6% vs. 9.6%, p<0.01).
Higher rates of in-hospital mortality and need for mechanical ventilation were noted in the hyperglycemia group.
HR fluctuation was observed, correlating with arrhythmic events.

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Prospective study investigates arrhythmic events in critically ill patients with hyperglycemia, suggesting increased risk.

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Tawfik et al. (2026) studied this question.

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