Abnormal Fasting Glucose Increases Risk of Unrecognized Myocardial Infarctions in an Elderly Cohort

Autor: Alain G. Bertoni, Gregory L. Burke, Paul E. Leaverton, Janice C. Zgibor, Mary F. Lyles, Douglas D. Schocken, Jennifer Peregoy, Richard B Stacey
Rok vydání: 2018
Předmět:
Zdroj: Journal of the American Geriatrics Society. 67:43-49
ISSN: 0002-8614
Popis: Objectives To investigate glucose levels as a risk factor for unrecognized myocardial infarctions (UMIs). Design Cohort Setting Cardiovascular Health Study. Participants Individuals aged 65 and older with fasting glucose measurements (N=4,355; normal fasting glucose (NFG), n = 2,041; impaired fasting glucose (IFG), n = 1,706; DM: n = 608; 40% male, 84% white, mean age 72.4 ± 5.6). Measurements The relationship between glucose levels and UMI was examined. Participants with prior coronary heart disease (CHD) or UMI on initial electrocardiography were excluded. Using Minnesota codes, UMI was identified according to the presence of pathological Q‐waves or minor Q‐waves with ST‐T abnormalities. Crude and adjusted hazard ratios (HRs) were calculated. Analyses were adjusted for age, sex, body mass index (BMI), hypertension, antihypertensive and lipid‐lowering medication use, total cholesterol, high‐density lipoprotein cholesterol, and smoking status. Results Over a mean follow‐up of 6 years, there were 459 incident UMIs (NFG, n=202; IFG, n=183; DM, n=74). Participants with IFG were slightly more likely than those with NFG to experience a UMI (hazard ratio (HR)=1.11, 95% confidence interval (CI)=0.91–1.36, p = .30), and those with DM were more likely than those with NFG to experience a UMI (HR=1.65, 95% CI=1.25–2.13, p
Databáze: OpenAIRE
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