Impact of hyperglycemia on long-term outcome in patients with ST-segment elevation myocardial infarction

The American Journal of Cardiology Jan 23, 2020

Kojima T, Hikoso S, Nakatani D, et al. - Given the link between stress-induced hyperglycemia (SIH) and long-term results, as well as the influences of baseline diabetic status on this link continue to be elusive in patients with ST-segment elevation myocardial infarction (STEMI), so, researchers performed this study to gain clarity on the link between SIH and long-term results, and the influences of baseline diabetic status on this link among STEMI patients (n = 6,287) who were discharged alive. They used the stress hyperglycemia ratio (SHR) to estimate SIH. All-cause mortality and admission for heart failure (HF) were assessed as endpoints. A follow-up of 5 years revealed 464 (7.4%) cases of all-cause death and 401 (6.4%) cases of HF admission. Among STEMI patients discharged alive, findings revealed a significant link of high SHR with worse long-term prognosis in the nondiabetic population. There was no significant link of high SHR with worse long-term prognosis in the diabetic population.
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