Short-term prognostic value of glycohemoglobin and admission plasma glucose in non-diabetic patients with acute ST-elevation myocardial infarction
10.3760/cma.j.issn.1673-4904.2013.07.007
- VernacularTitle:糖化血红蛋白及入院时血糖对无糖尿病病史急性ST段抬高性心肌梗死的近期预后价值
- Author:
Chuangao YANG
;
Weihong LU
;
Xiaojing BAO
;
Xiaoping BO
;
Zhenyu YANG
- Publication Type:Journal Article
- Keywords:
Hemoglobins;
Blood glucose;
Myocardial infarction
- From:
Chinese Journal of Postgraduates of Medicine
2013;(7):21-23
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the short-term prognostic value of glycohemoglobin (HbA1c) and admission plasma glucose in non-diabetic patients with acute ST-elevation myocardial infarction.Methods Eighty-four non-diabetic patients with acute ST-elevation myocardial infarction from January 2010 to June 2011 were included.Both HbA1c and plasma glucose was measured on admission.Cardiovascular event was followed up in 30 days.Results The average of HbA1c and admission plasma glucose was as cut-off point.The patients were divided into HbA1c ＜ 5.5％ group (40 cases) and HbA1c ≥5.5％ group (44 cases) according to HbA1c level.The patients were divided into admission plasma glucose ≤ 8.6 mmol/L group (42 cases) and admission plasma glucose ＞ 8.6 mmol/L group (42 cases) according to admission plasma glucose.The incidence of cardiovascular event in 30 days in admission plasma glucose ＞ 8.6 mmol/L group was higher than that in admission plasma glucose ≤ 8.6 mmol/L group [19.0％ (8/42) vs.2.4％ (1/42)],and there was significant difference(P＜ 0.05).There was no significant difference in the incidence of cardiovascular event in 30 days between HbA1c ≥5.5％ group and HbA1c ＜ 5.5％ group (P ＞ 0.05).Admission plasma glucose showed weak correlation with blood creatine kinase isoenzyme MB peak (r =0.233,P ＜0.05).Conclusion In non-diabetic patients with acute ST-elevation myocardial infarction,elevated admission plasma glucose levels are associated with higher cardiovascular event in 30 days.
