Publication: Impact of admission blood glucose levels on prognosis of elderly patients with ST elevation myocardial infarction treated by primary percutaneous coronary intervention
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Date
2013-01-01
Institution Authors
Authors
Ekmekci, Ahmet
Uluganyan, MAHMUT
Tufan, Fatif
Uyarel, Huseyin
Karaca, Gurkan
Kul, Seref
Gungor, Baris
Ertas, Gokhan
Erer, Betul
Sayar, Nurten
Journal Title
Journal ISSN
Volume Title
Publisher
Metrikler
Abstract
Objective: Admission hyperglycemia in acute myocardial infarction (MI) is related with increased in-hospital and long term mortality and major cardiac adverse events. We aimed to investigate how admission hyperglycemia affects the short and long term outcomes in elderly patients (> 65 years) after primary percutaneous coronary intervention for ST elevation myocardial infarction.
Methods: We retrospectively analyzed 677 consecutive elderly patients (mean age 72.2 ± 5.4). Patients were divided into two groups according to admission blood glucose levels. Group 1: low glucose group (LLG), glucose < 168 mg/dL; and Group 2: high glucose group (HGG), glucose > 168 mg/dL.
Results: In-hospital, long term mortality and in-hospital major adverse cardiac events were higher in the high admission blood glucose group (P < 0.001). Multivariate regression analysis showed: Killip > 1, post-thrombolysis in MI < 3 and admission blood glucose levels were independent predictors of in-hospital adverse cardiac events (P < 0.001).
Conclusions: Admission hyperglycemia in elderly patients presented with ST elevation myocardial infarction is an independent predictor of in-hospital major adverse cardiac events and is associated with in-hospital and long term mortality.
Description
Keywords
In-hospital mortality, Admission hyperglycemia, Elderly patients, Long-term mortality, Major adverse cardiac events
Citation
Ekmekci A., Uluganyan M., Tufan F., Uyarel H., Karaca G., Kul S., Gungor B., Ertas G., Erer B., Sayar N., et al., -Impact of admission blood glucose levels on prognosis of elderly patients with ST elevation myocardial infarction treated by primary percutaneous coronary intervention-, JOURNAL OF GERIATRIC CARDIOLOGY, cilt.10, ss.310-316, 2013