Admission glycaemia and outcome after percutaneous coronary intervention in patients with acute myocardial infarction

Objective To evaluate the association between hyperglycaemia at admission and in-hospital outcomes in acute myocardial infarction (AMI) patients undergoing percutaneous coronary intervention (PCI). Methods Three hundreds and fifty-four patients with AMI and underwent PCI were divided into 3 groups according to the glucose level on admission:group A (n=132),7.80 mmol/L; group B (n=120),7.80—11.00 mmol/L; group C (n=102),≥11.00 mmol/L. Results Patients in group C had higher cholesterol,low-density lipoprotein and triglycerides levels than those in group A. Compared with group A,there were higher incidence of multi-vascular diseases and higher corrected TIMI frame count (CTFC) in angiography in group B and group C. Cardiac events and in-hospital mortality in group B and group C were higher than those of group A,while statistical difference was found between group C and group A. Conclusion Elevated admission glucose level in AMI patients with primary PCI is associated with worse prognosis,increased major adverse cardiac events and higher in-hospital mortality.