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- W4297520104 abstract "Abstract Objectives The purpose of this study was to evaluate the impact of glucose levels on admission on the risk of 30-day major adverse cardiovascular events (MACEs) in patients with acute myocardial infarction (AMI), and to assess the difference in outcome between ST-segment elevation myocardial infarction (STEMI) and non-ST-segment elevation myocardial infarction (NSTEMI) patients. Methods and Results This study was a post hoc analysis of the Acute Coronary Syndrome Quality Improvement in Kerala Study, and 13,398 participants were included in the final analysis. There was a positive linear association between glucose levels at admission and the risk of 30-day MACEs in AMI patients [adjusted OR (95%CI): 1.05 (1.03, 1.07), P < 0.001]. Participants were divided according to the glucose quintiles. Compared with participants with admission glucose between 5.4 and 6.3 mmol/L, participants with the highest quintile of glucose level (≥ 10.7 mmol/L) were associated with increased risk of 30-day MACEs in the fully adjusted logistic regression model [adjusted OR (95%CI): 1.82 (1.33, 2.50), P < 0.001]. This trend was more significant in patients with STEMI (P for interaction = 0.036). Conclusion In patients with AMI, elevated glucose on admission was associated with the increased risk of 30-day MACEs, but only in patients with STEMI." @default.
- W4297520104 created "2022-09-29" @default.
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- W4297520104 date "2022-09-28" @default.
- W4297520104 modified "2023-10-18" @default.
- W4297520104 title "Elevated Glucose on Admission Was an Independent Risk Factor For 30-Day Major Adverse Cardiovascular Events in Patients with STEMI But Not NSTEMI" @default.
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- W4297520104 doi "https://doi.org/10.21203/rs.3.rs-2089245/v1" @default.
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