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Admission HbA1c is Not a Predictor of Adverse Clinical Outcome in Non-diabetic Patients Undergoing Percutaneous Coronary Intervention for Acute Myocardial Infarction
전남대학교병원 심장센터, 보건복지부 심장질환 특성화 연구센터
조경훈, 정명호, 김현국, 김성수, 고점석, 이민구, 박근호, 심두선, 윤남식, 윤현주, 박형욱, 홍영준, 김주한, 안영근, 조정관, 박종춘, 강정채, 박옥규
Background: Data regarding admission HbA1c and long-term outcome in non-diabetic patients undergoing percutaneous coronary intervention for acute myocardial infarction are limited. This study examined the value of admission HbA1c in clinical outcomes after percutaneous coronary intervention in non-diabetic patients with acute myocardial infarction. Methods: We analyzed data from 318 eligible patients undergoing a 1-year follow-up after PCI for acute myocardial infarction from Oct 2005 and Jan 2008. The patients were divided on the basis of admission HbA1c level: group 1, <7 %; and group 2, > or = 7 %. Results: The mean HbA1c level of total patients was 6.18 ± 0.79 %. There were no significant differences in age, sex, comorbidities, blood pressure, Killip class, creatinine clearance, left ventricular ejection fraction, high-sensitivity C-reactive protein (hsCRP), N-terminal pro-B-type natriuretic peptide (NT-proBNP) and angiographic findings between two groups. Our data showed no significant differences in 1-month major cardiac events (15 deaths, 3 MI, 4 repeat PCI and 0 CABG) and 12-month mortality between two groups. Conclusion: Admission HbA1c is not a predictor of adverse clinical outcome in non-diabetic patients undergoing percutaneous coronary intervention for acute myocardial infarction.


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