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ȣ - 530131 225 |
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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