The prognostic role of in-hospital peak glycemia in stemi patients with and without diabetes

Chiara Lazzeri, Serafina Valente, Marco Chiostri, Paola Attanà, Claudio Picariello, Gian Franco Gensini

Research output: Contribution to journalArticlepeer-review

Abstract

Due to the lack of appropriately designed randomized trials, the definitive answer in regard to the prognostic role of in-hospital glucose values in patients with AMI is lacking. We prospectively assessed the prognostic role of in-hospital peak glycemia (≤1.40, 141-180 and >180 g/l) in 611 consecutive STEMI patients (diabetic and without previously known diabetes) submitted to percutaneous coronary intervention. One hundred and fifteen (18.8%) were diabetic and the remaining 496 (81.2%) without previously known diabetes. At multivariable logistic regression analysis, peak glycemia was an independent predictor for in-ICCU death in the overall population and in patients without previously known diabetes. At follow-up, in the overall population (as well as in diabetic and non-diabetic patients), patients with peak glycemia >1.8 g/l showed the lowest survival rate, those with peak glycemia 1.4 and

Original languageEnglish
Pages (from-to)379-386
Number of pages8
JournalActa Diabetologica
Volume49
Issue number5
DOIs
Publication statusPublished - Oct 2012

Keywords

  • Long term follow-up
  • PCI
  • Peak glycemia
  • Prognosis
  • STEMI

ASJC Scopus subject areas

  • Endocrinology
  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

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