Relation between fasting blood glucose and nonculprit vessel lesion progression after percutaneous coronary intervention in patients with acute myocardial infarction
Wang Xuejie
Wang Jian
Liu Jinghua
He Songyuan
Tian Jiayu
Zhu Yong
Abstract：Objective To analyze the relation between fasting blood glucose and nonculprit vessel lesion (NCL) progression after percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (AMI).Methods Clinical data of 192 patients who were diagnosed of AMI from January 2016 to December 2017 and had reexamination of coronary angiography before June 2018 in Beijing Anzhen Hospital,Capital Medical University were analyzed.They were divided into NCL progression group (82 cases) and NCL progression-free group(110 cases).Basic information and the correlation between fasting blood glucose and NCL progression were analyzed.Results Levels of body mass index,serum creatinine,fasting blood glucose,glycated serum albumin,glycated hemoglobin and homocysteine in NCL progression group were significantly higher than those in NCL progression-free group(all P ＜ 0.05).Logistic regression showed that fasting blood glucose(odds ratio =1.274,95％ confidence interval:1.077-1.505,P=0.005) and serum creatinine (odds ratio =1.020,95％ confidence interval:1.002-1.038,P =0.027) were independent predictors of NCL progression.Partial correlation analysis showed that fasting blood glucose was positively correlated with NCL progression (r =0.231,P =0.001).Receiver operating characteristic curve showed that the boundary point of fasting blood glucose to predict NCL progression was 5.715 mmol/L;the sensitivity was 74.4％ and the specificity was 46.4％.Conclusion Fasting blood glucose is valuable in the prediction of NCL progression and risk stratification after PCI in patients with AMI.
Keywords：Acute myocardial infarctionFasting blood glucoseNonculprit vessel lesion
Publication Date：2019-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：4( 819-822 )