Correlation Analysis Between Admission Blood Glucose Level and Long-term Prognosis in Patients With Acute Coronary Syndrome
10.3969/j.issn.1000-3614.2016.10.006
- VernacularTitle:不合并糖尿病的急性冠状动脉综合征患者入院血糖与远期预后的相关性分析
- Author:
Minghui WANG
;
Haiwei BU
;
Wanglexian SUN
;
Ying ZHANG
;
Jie ZHAO
;
Wenfeng WANG
;
Shucheng LI
;
Na ZHANG
;
Chunhua LI
- Publication Type:Journal Article
- Keywords:
Acute coronary syndrome;
Blood glucose;
Angioplasty,transluminal,percutaneous coronary;
Risk factors
- From:
Chinese Circulation Journal
2016;31(10):970-975
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate the correlation between admission blood glucose (ABG) level and long-term prognosis in patients with acute coronary syndrome (ACS) without diabetes mellitus (DM). Methods: A total of 585 ACS patients received percutaneous coronary intervention (PCI) in our hospital from 2014-01 to 2015-10 were consecutively enrolled and no one combined with DM. Based on ABG levels, the patients were divided into 2 groups:ABG≥7.0 mmol/L group,n=133 and ABG<7.0 mmol/L group,n=452. Demographic, clinical data and treatment conditions were collected to conduct follow-up study and to assess the prognosis. Results: The median follow-up time was 350 days and all cause death in ABG≥7.0 mmol/L group and ABG<7.0 mmol/L group was 2.4% vs 0.9%,P>0.05. Compared with ABG<7.0 mmol/L group, the patients in ABG≥7.0 mmol/L group had the higher incidences of MACE, PCI complication, recurrence of angina and more re-admissions for cardiac event, all P<0.05.Cox regression mode lanalysis in dicated that in addition to acute STEMI (HR=2.016), malignant arrhythmia (HR=3.028) and previous MI history (HR=2.293), blood glucose≥7.0mmol/L was also an independent risk factor for poor long-term prognosis in relevant patients. Conclusion: ABG≥7.0 mmol/L implies poor long-term prognosis in ACS patients and special attention is necessary in secondary prevention.
