【摘 要】
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Objective To study the influence of admission serum glucose (ASG) level on myocardial perfusion and short-term major adverse cardiovascular events (MACE) in patients with acute myocardial infarc-tion
【机 构】
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Department of Cardiol-ogy,Capital Medical University affiliate Beijing Anzhen Hospital,Beijing Insti
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Objective To study the influence of admission serum glucose (ASG) level on myocardial perfusion and short-term major adverse cardiovascular events (MACE) in patients with acute myocardial infarc-tion (AMI) after percutaneous coronary intervention (PCI).Methods Retrospectively analyze ASG level, clin-ical characteristics, coronary angiography results, and record the incidence of 30-day MACE in 298 patientswith AMI from January 2009 to December 2011 of our hospital.Results The proportion of cardiac Killip > 1 level, white cell numbers, Hs-CRP concentrations, CK and CK-MB levels were significantly increased in pa-tients of ASG≥11.1mmol / L group (Group C) , compared with those in patients in ASG of 7.8 ~ 11.1mmol / L(Group B) and ASG <7.8mmol/L (Group A) (P <0.05).There was less frequently complete ST segment resolution and early T wave inversion in group C than those in group B and A after PCI (P < 0.05).There were more patients suffering from acute heart failure, recurrent non-fatal myocardial infarction, cardiac malignant ar-rhythmia and cardiac sudden death of MACE in group C than those in groupA and B(P < 0.05).Conclusion As the ASG level increased, myocardial perfusion levels in patients with AMI after PCI were decreased, and the incidence of 30-day MACE was increased.Therefore, strictly controlling ASG seems to be beneficial for impro-ving myocardial perfusion and reducing short-term MACE.
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