Influence of Admission Glucose Level on Long-Term Prognosis in Patients With Acute Coronary Syndrome

Autor:	Jorge R. Badaracco, Bilda González-Arjol, Eduardo R. Perna, Pablo A. Bayol, Jorge O. Kriskovich, Valeria Franciosi, Stella M. Macín, Maria L. Coronel, Jorge L. Riera-Stival
Rok vydání:	2006
Předmět:	Acute coronary syndrome medicine.medical_specialty Ejection fraction business.industry Unstable angina Hazard ratio General Medicine medicine.disease Blood pressure Diabetes mellitus Internal medicine Heart failure medicine Cardiology Myocardial infarction Intensive care medicine business
Zdroj:	Revista Española de Cardiología (English Edition). 59:1268-1275
ISSN:	1885-5857
DOI:	10.1016/s1885-5857(07)60083-8
Popis:	Introduction and objectives. Hyperglycemia can increase the risk of death or a poor outcome following myocardial infarction. Our objective was to investigate the value of the admission glucose level in predicting longterm outcome in patients with acute coronary syndrome. Methods. The study population comprised 565 patients admitted with acute coronary syndrome within 24 hours of the start of symptoms. The final diagnosis was myocardial infarction in 56% and unstable angina in 44%. Results. The patients’ mean glucose level was 143 (77) mg/dL. During follow-up (42 [6] months), 55 (9.7%) patients died. The area under the receiver operating characteristic curve for the optimum cut point for predicting death from the glucose level was 0.67; the cut point was 128 mg/dL, with a sensitivity of 85% and a specificity of 62%. Patients were divided into 2 groups according to blood glucose level: in group 1 (36.8%), it was ≥128 mg/dL; in group 2
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::0360ded379990c20ed774b4d1fb3ebbd https://doi.org/10.1016/s1885-5857(07)60083-8 Zobrazit plný text záznamu Full Text from ScienceDirect