Acute hyperglycemia is associated with adverse outcome after acute myocardial infarction in the coronary intervention era
Acute hyperglycemia is associated with adverse outcome after acute myocardial infarction in the coronary intervention era
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DOI：
10.1016/j.ahj.2004.12.020
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发表时间：
2005-10-01
影响因子：
4.8
通讯作者：
Ogawa, H
中科院分区：
文献类型：
--
作者：
Ishihara, M;Kojima, S;Ogawa, H
目的探讨急性心肌梗死（AMI）患者经皮冠状动脉介入治疗（PCI）后急性高血糖与住院预后的关系。方法2001年1月至2001年12月，1253例AML患者在发病后48小时内入院，入院时测定血糖。急性高血糖症定义为血糖>11 mmol/L（198 mg/dL），无论糖尿病状态如何。结果898例（72%）患者行急诊PCI术，急性高血糖患者的住院死亡率明显高于无急性高血糖患者（16%vs6%，P
Purpose This study was undertaken to assess the association between acute hyperglycemia and inhospital outcome after acute myocardial infarction (AMI) in the percutaneous coronary intervention (PCI) era. We also assessed outcome of patients with a history of diabetes mellitus in the PCI era,Methods Between January 2001 and December 2001, 1253 patients were admitted to the hospitals within 48 hours after the onset of AML Plasma glucose was measured at hospital admission. Acute hyperglycemia was defined as plasma glucose of >11 mmol/L (198 mg/dL), regardless of the diabetic status. Primary PCI was performed in 898 (72%) patients.Results The inhospital mortality rate was significantly higher in patients with acute hyperglycemia than in patients without (16% vs 6%, P