Impact of admission blood glucose levels on prognosis of elderly patients with ST elevation myocardial infarction treated by primary percutaneous coronary intervention

作     者：Ahmet Ekmekci Mahmut Uluganyan Fatif Tufan Huseyin Uyarel Gurkan Karaca Seref Kul Barl(s) Gungor 

作者机构：Department of Cardiology Dr.Siyami Ersek Thoracic and Cardiovascular Surgery Center Training and Research Hospital Tibbiye Caddesi 34000 Istanbul Turkey Department of Cardiology Kadirli State Hospital Toki Caddesi 8075 Osmaniye Turkey Department of Geriatric Istanbul University Medical Hospital Vatan Cadddessi 34000 Istanbul Turkey Department of Cardiology Bezmialem Vakif University Medical Hospital Vatan Caddesi 34000 Istanbul Turkey 

出 版 物：《Journal of Geriatric Cardiology》 (老年心脏病学杂志（英文版）)

年 卷 期：2013年第10卷第4期

页      面：310-316页

核心收录：

学科分类：10[医学] 

主　　题：Admission hyperglycemia Elderly patients In-hospital mortality Long-term mortality Major adverse cardiac events 

摘      要：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 : low glucose group (LLG), 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 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。