Publication: Admission Hyperglycemia Predicts Inhospital Mortality and Major Adverse Cardiac Events After Primary Percutaneous Coronary Intervention in Patients Without Diabetes mellitus
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2014-02-01
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Ekmekci, Ahmet
Cicek, Gokhan
Uluganyan, MAHMUT
Gungor, Baris
Osman, Faizel
Ozcan, Kazim Serhan
Bozbay, Mehmet
Ertas, Gokhan
Zencirci, Aycan
Sayar, Nurten
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Abstract
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.
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Ekmekci A., Cicek G., Uluganyan M., Gungor B., Osman F., Ozcan K. S. , Bozbay M., Ertas G., Zencirci A., Sayar N., et al., -Admission Hyperglycemia Predicts Inhospital Mortality and Major Adverse Cardiac Events After Primary Percutaneous Coronary Intervention in Patients Without Diabetes mellitus-, ANGIOLOGY, cilt.65, ss.154-159, 2014