Admission Hyperglycemia Predicts Inhospital Mortality and Major Adverse Cardiac Events After Primary Percutaneous Coronary Intervention in Patients Without Diabetes mellitus
| Autor: | Nurten Sayar, Kazım Serhan Özcan, Aycan Esen Zencirci, Barış Güngör, Mehmet Eren, Mehmet Bozbay, Gökhan Ertaş, Mahmut Uluganyan, Gökhan Çiçek, Faizel Osman, Ahmet Ekmekçi |
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| Přispěvatelé: | ULUGANYAN, MAHMUT |
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Myocardial Infarction Coronary Angiography Logistic regression Patient Admission Percutaneous Coronary Intervention Internal medicine Diabetes mellitus medicine Humans In patient Hospital Mortality Angioplasty Balloon Coronary Adverse effect Aged business.industry Cardiogenic shock Percutaneous coronary intervention Odds ratio Middle Aged medicine.disease Logistic Models Hyperglycemia Conventional PCI Cardiology Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Angiology. 65:154-159 |
| ISSN: | 1940-1574 0003-3197 |
| DOI: | 10.1177/0003319713488930 |
| Popis: | Admission hyperglycemia is associated with high inhospital and long-term adverse events in patients that undergo primary percutaneous coronary intervention (PCI). We aimed to evaluate whether hyperglycemia predicts inhospital mortality. We prospectively analyzed 503 consecutive patients. The patients were divided into tertiles according to the admission glucose levels. Tertile I: glucose 145 mg/dL (n = 169). Inhospital mortality was 0 in tertile I, 2 in tertile II, and 9 in tertile III ( P < .02). Cardiogenic shock occurred more frequently in tertile III compared to tertiles I and II (10% vs 4.1% and 0.6%, respectively, P = .01). Multivariate logistic regression analysis revealed that patients in tertile III had significantly higher risk of inhospital major adverse cardiac events compared to patients in tertile I (odds ratio: 9.55, P < .02). Admission hyperglycemia predicts inhospital adverse cardiac events in mortality and acute ST-segment elevation myocardial infarction in patients that underwent primary PCI. |
| Databáze: | OpenAIRE |
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