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HbA 1c is regarded as an independent risk factor for acute myocardial infarction in patients with or without diabetes. However, studies regarding HbA 1c and increased risk of acute myocardial infarction ( A MI) are scarce. The present study is a case control study in which glyc ated hemoglobin, fasting and postprandial blood gluco se ; and fasting lipid profile were estimated in all subjects . Though HbA 1c helped distinguish between stress induced hyperglycemia and diabetes mellitus, it failed to predict risk of myocardial infarctio n. More longitudinal and prospective studies in rural areas of India are needed to establish causal relationship so that HbA 1c can be used as a prime time tool in clinical evaluation of myocardial infarction.

HBA1C: IS IT READY AS A PRIMETIME TOOL FOR PREDICTING MYOCARDIAL INFARCTION?