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The value of admission glycosylated hemoglobin level in patients with acute myocardial infarction

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dc.contributor.author Cakmak, M.
dc.contributor.author Cakmak, N.
dc.contributor.author Cetemen, S.
dc.contributor.author Tanrıverdi, Halil
dc.contributor.author Enc, Y.
dc.contributor.author Teskin, O.
dc.contributor.author Kılıç, İsmail Doğu
dc.date.accessioned 2019-08-16T12:19:47Z
dc.date.available 2019-08-16T12:19:47Z
dc.date.issued 2008
dc.identifier.issn 0828282X (ISSN)
dc.identifier.uri http://acikerisim.pau.edu.tr:8080/xmlui/handle/11499/7319
dc.description.abstract Background: Glycosylated hemoglobin (HbA1c) level on admission is a prognostic factor for mortality in patients with and without diabetes after myocardial infarction. In the present study, the authors examined the relationship between admission HbA1c level and myocardial perfusion abnormalities in patients with acute myocardial infarction. Methods: One hundred consecutive patients with acute myocardial infarction who were treated with thrombolytic therapy were included in the present prospective study. Blood glucose and HbA1c levels of all patients were measured within 3 h of admission. Patients were divided into three groups according to HbA1c level: 4.5% to 6.4% (n=25), 6.5% to 8.5% (n=28) and higher than 8.5% (n=47). All patients then underwent exercise thallium-201 imaging and coronary angiography to determine ischemic scores and the number of diseased coronary arteries four weeks after admission. Results: Seven patients died within the four-week follow-up period. There was a significant relationship between admission HbA1c level and mortality (P=0.009). Furthermore, there was a significant relationship between HbA1c level and total ischemic scores in patients with acute myocardial infarction (r=0.482; P=0.001). Ischemic scores increased as HbA1c levels increased in patients with acute myocardial infarction. Conclusions: The results demonstrated that admission plasma glucose and HbA1c levels are prognostic factors associated with mortality after acute myocardial infarction. ©2008 Pulsus Group Inc. All rights reserved.
dc.language.iso English
dc.publisher Pulsus Group Inc.
dc.relation.isversionof 10.1016/S0828-282X(08)70600-7
dc.rights info:eu-repo/semantics/openAccess
dc.subject Acute myocardial infarction
dc.subject Diabetes
dc.subject HbA1c
dc.subject Ischemic score
dc.subject Prognosis
dc.subject fibrinolytic agent
dc.subject glucose
dc.subject glycosylated hemoglobin
dc.subject hemoglobin A1c
dc.subject thallium 201
dc.subject acute heart infarction
dc.subject adult
dc.subject aged
dc.subject angiocardiography
dc.subject article
dc.subject controlled study
dc.subject coronary artery disease
dc.subject exercise test
dc.subject female
dc.subject fibrinolytic therapy
dc.subject follow up
dc.subject glucose blood level
dc.subject heart muscle ischemia
dc.subject heart muscle perfusion
dc.subject hemoglobin blood level
dc.subject hospital admission
dc.subject human
dc.subject major clinical study
dc.subject male
dc.subject mortality
dc.subject obesity
dc.subject prognosis
dc.subject prospective study
dc.subject risk factor
dc.subject sex difference
dc.subject smoking
dc.subject blood
dc.subject heart infarction
dc.subject middle aged
dc.subject Aged
dc.subject Blood Glucose
dc.subject Female
dc.subject Hemoglobin A, Glycosylated
dc.subject Humans
dc.subject Male
dc.subject Middle Aged
dc.subject Myocardial Infarction
dc.subject Prospective Studies
dc.subject Risk Factors
dc.title The value of admission glycosylated hemoglobin level in patients with acute myocardial infarction
dc.type Article
dc.relation.journal Canadian Journal of Cardiology
dc.contributor.authorID 0000-0002-5270-3897
dc.identifier.volume 24
dc.identifier.issue 5
dc.identifier.startpage 375
dc.identifier.endpage 378
dc.relation.publicationCategory Uluslararası Hakemli Dergi
dc.identifier.index Scopus
dc.identifier.index WOS
dc.identifier.index PubMed

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