›› 2019, Vol. 39 ›› Issue (3): 309-.doi: 10.3969/j.issn.1674-8115.2019.03.016

• Original article (Clinical research) • Previous Articles     Next Articles

Value of stress hyperglycemia ratio in predicting the prognosis of patients with acute myocardial infarction

XIA Zhi-li1, GAO Cheng-jie2, GAO Ya-jie1, TAO Yi-jing1, WAN Qing1, WU Hao1, WEI Jun-bo1, ZHOU Yi1, PAN Jing-wei1   

  1. 1. Department of Cardiology , Shanghai Sixth People’s Hospital, Shanghai Jiao Tong University, Shanghai 200233, China; 2. Geriatrics Department , Shanghai Sixth People’s Hospital, Shanghai Jiao Tong University, Shanghai 200233, China
  • Online:2019-03-28 Published:2019-04-28

Abstract: Objective · To explore the value of stress hyperglycemia ratio (SHR) in predicting the prognosis of patients with acute myocardial infarction(AMI). Methods · A total of 434 patients diagnosed as having AMI were enrolled October 2014 to October 2015. Immediate blood glucose, glycosylated hemoglobin (HbA1c) and SHR of each subjects were collected and calculated. Patients with and without diabetes were divided into several groups according to the occurrence of in-hospital and 2-year major adverse cardiovascular and cerebrovascular events (MACCEs). Indicators above were evaluated to predict the prognosis of patients with AMI. Results · Immediate blood glucose (P0.003) and SHR (P0.005) were significantly higher in MACCEs group than those in 2-year MACCEs-free group. Among AMI patients with diabetes mellitus, SHR in hospital MACCEs group was significantly higher than that in MACCEs-free group (P0.001). Among AMI patients without diabetes, values of immediate blood glucose (P0.001) and SHR (P0.001) were higher in 2-year MACCEs group than those in MACCEs-free group. All-camortality was the highest (P0.047, P0.007) in the highest SHR group (three-digit relationship), no matter with or without diabetes mellitus. AMI patients with and without diabetes were further divided into two groups according to the median of SHR. High SHR could better predict in hospital MACCEs rate in AMI patients with diabetes as well as 2-year MACCEs rate without diabetes (P0.023, P0.000). Conclusion · Abnormal stress hyperglycemia is a risk factor of long-term poor prognosis in AMI patients. The value of SHR is more valuable in predicting the poor prognosis of AMI than immediate blood glucose, no matter the patients with or without diabetes.

Key words: acute myocardial infarction, stressed hyperglycemia ratio (SHR), prognosis

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