Predictive Value of Fasting Blood Glucose for Microvascular Obstruction in Nondiabetic Patients with ST-Segment Elevation Myocardial Infarction after Primary Percutaneous Coronary Intervention.
Predictive Value of Fasting Blood Glucose for Microvascular Obstruction in Nondiabetic Patients with ST-Segment Elevation Myocardial Infarction after Primary Percutaneous Coronary Intervention.
复制标题
空腹血糖对非糖尿病ST段抬高型心肌梗死初次经皮冠状动脉介入治疗后微血管阻塞的预测价值
DOI：
10.1155/2020/8429218
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发表时间：
2020
影响因子：
2.1
通讯作者：
Xu B
中科院分区：
文献类型：
--
作者：
Wu H;Li R;Wang K;Mu D;Chen JZ;Wei X;Bao X;Wei ZH;Xie J;Xu B
非糖尿病st段抬高型心肌梗死（STEMI）患者经皮冠状动脉介入治疗（PCI）后，空腹血糖（FBG）与微血管阻塞（MVO）的关系尚不清楚。本研究旨在确定FBG对非糖尿病STEMI患者MVO的预测价值。方法对108例行PCI的非糖尿病STEMI患者进行研究。根据心脏磁共振成像（CMR）将患者分为MVO组和非MVO组。结果MVO组FBG明显高于非MVO组。单因素分析显示，FBG、峰值高敏感肌钙蛋白T （TnT）、pci前溶栓心肌梗死（pci前TIMI）血流、左室射血分数（LVEF）、梗死面积、左室舒张末期内径（LVEDd）、左室舒张末期容积（LVEDV）和整体纵向应变（GLS）可能是MVO的预测因素。在调整其他参数后，FBG、峰值TnT、LVEF和LVEDV仍然是MVO的独立预测因子。结论非糖尿病STEMI患者空腹血糖与MVO独立相关。
Background The relationship between fasting blood glucose (FBG) and microvascular obstruction (MVO) after primary percutaneous coronary intervention (PCI) remains unclear in nondiabetic patients with ST-segment elevation myocardial infarction (STEMI). This study aimed to determine the predictive value of FBG in MVO in nondiabetic STEMI patients. Methods A total of 108 nondiabetic STEMI patients undergoing primary PCI were enrolled in this study. The patients were classified into either the MVO group or non-MVO group based on cardiac magnetic resonance imaging (CMR). Results FBG in the MVO group was higher than in the non-MVO group. Univariate analysis showed that FBG, peak high-sensitive troponin T (TnT), pre-PCI thrombolysis in myocardial infarction (pre-PCI TIMI) flow, left ventricular ejection fraction (LVEF), infarction size, left ventricular end-diastolic diameter (LVEDd), left ventricular end-diastolic volume (LVEDV), and global longitudinal strain (GLS) were likely predictive factors of MVO. After adjustment for other parameters, FBG, peak TnT, LVEF, and LVEDV remained independent predictors for MVO. Conclusion FBG was independently associated with MVO in nondiabetic STEMI patients.
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影响因子：
5.9
作者：
Galea, Nicola;Dacquino, Gian Marco;Francone, Marco
通讯作者：
Francone, Marco
DOI：
10.5152/akd.2011.055
发表时间：
2011-05-01
影响因子：
--
作者：
Ege, Meltem;Guray, Umit;Korkmaz, Sule
通讯作者：
Korkmaz, Sule
影响因子：
39.3
作者：
de Waha, Suzanne;Desch, Steffen;Thiele, Holger
通讯作者：
Thiele, Holger
DOI：
10.1016/j.rec.2017.11.010
发表时间：
2017-12-01
期刊：
Revista espanola de cardiologia (English ed.)
影响因子：
--
作者：
Ibanez, Borja;James, Stefan;Widimsky, Petr
通讯作者：
Widimsky, Petr
影响因子：
3
作者：
Pepe, Martino;Zanna, Domenico;Favale, Stefano
通讯作者：
Favale, Stefano