Hemoglobin A(1c) levels and 1-year mortality in patients with ST-elevation myocardial infarction undergoing percutaneous coronary intervention

糖化血红蛋白A1c水平与接受经皮冠状动脉介入治疗的ST段抬高型心肌梗死患者的1年死亡率的关系

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Abstract

Background: In this study, we investigated whether different levels of hemoglobin A(1c) (HbA(1c)) are associated with different short-term and 1-year mortality rates among diabetic patients undergoing percutaneous coronary intervention. Patients & methods: Clinical events including in-hospital, 1-month and 1-year mortality were compared between three groups based on HbA(1c) levels of patients (I: ≤5.6%, II: 5.7-6.4%, III: ≥6.5%). Results: Among 165 diabetic individuals, patients with abnormal HbA(1c) levels (≥6.5%) experienced significantly higher hospitalization days (7.65 ± 1.64 days) compared with those with normal HbA(1c) (4.94 ± 0.97 days) (p < 0.0001). In-hospital mortality was significantly higher in group III (14.5%) and II (5.5%) compared with group I (0%) (p = 0.008). Conclusion: HbA(1c) levels may be a reliable predictor of short-term clinical events in diabetic patients.

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