Admission glycaemia and outcome after percutaneous coronary intervention in patients with acute myocardial infarction
- VernacularTitle:急性心肌梗死患者入院血糖水平与经皮冠状动脉介入治疗后预后的关系
- Author:
Hongzhi DONG
;
Jingxia ZHANG
;
Wei WANG
;
Yaqin YIN
- Publication Type:Journal Article
- Keywords:
Myocardial infarction;
Myocardial reperfusion;
Prognosis;
Therapy
- From:Chinese Journal of Medical Imaging Technology
2010;26(4):671-673
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the association between hyperglycaemia at admission and in-hospital outcomes in acute myocardial infarction (AMI) patients undergoing percutaneous coronary intervention (PCI). Methods Three hundreds and fifty-four patients with AMI and underwent PCI were divided into 3 groups according to the glucose level on admission: group A (n=132), ＜7.80 mmol/L;group B (n=120), 7.80-11.00 mmol/L;group C (n=102), ≥11.00 mmol/L. Results Patients in group C had higher cholesterol, low-density lipoprotein and triglycerides levels than those in group A. Compared with group A, there were higher incidence of multi-vascular diseases and higher corrected TIMI frame count (CTFC) in angiography in group B and group C. Cardiac events and in-hospital mortality in group B and group C were higher than those of group A, while statistical difference was found between group C and group A. Conclusion Elevated admission glucose level in AMI patients with primary PCI is associated with worse prognosis, increased major adverse cardiac events and higher in-hospital mortality.
