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Relationship between TIMI frame count and admission glucose values in acute ST elevation myocardial infarction patients who underwent successful primary percutaneous intervention.
Anadolu Kardiyol Derg. 2011 May; 11(3):213-7.AK

Abstract

OBJECTIVE

Admission hyperglycemia is associated with poor prognosis in patients with acute myocardial infarction. Final Thrombolysis in Myocardial Infarction (TIMI) frame counts of culprit coronary arteries may show significant variability despite successful coronary reperfusion after primary percutaneous coronary intervention (PCI). In this prospective observational study, relationship between final TIMI frame counts of the culprit coronary artery and admission glucose values was investigated in patients who underwent successful primary PCI due to acute ST-elevation myocardial infarction (STEMI).

METHODS

During a 6- month period of time, 73 non-diabetic patients presented with acute STEMI who have undergone primary PCI with final TIMI 3 flow were consecutively included in the study. Patients were divided into two groups according to final TIMI frame counts. Group 1 (n=53) consisted of patients with final TIMI frame counts of the culprit coronary artery within the two standard deviation of predefined values and Group 2 (n=20) consisted of those with higher TIMI frame counts. Statistical analysis was performed using Chi-square, Mann-Whitney U tests and multiple linear regression analysis.

RESULTS

Despite similar fasting glucose values, admission glucose levels were significantly higher in Group 2 as compared to Group 1 (138 [114-165] vs. 123 [97-143] mg/dl, p=0.03). In whole group, admission glucose values were significantly correlated with corrected TIMI frame counts of culprit coronary arteries (r=0.30, p=0.01). In addition, there were significant association between admission glucose values and peak creatine kinase-MB (r=0.36, p=0.007) values as well as left ventricular ejection fraction (r=-0.43, p=0.009). In multiple linear regression analysis, only admission glucose value was found to be significantly related to the final TIMI frame count of the culprit artery (β=0.04, 95%CI: 0.02-0.085, p=0.04).

CONCLUSION

High admission glucose values were significantly associated with impaired coronary flow even after successful primary PCI in non-diabetic patients with STEMI.

Authors+Show Affiliations

Cardiology Clinic, Yalova State Hospital, Yalova, Turkey.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21421510

Citation

Ege, Meltem, et al. "Relationship Between TIMI Frame Count and Admission Glucose Values in Acute ST Elevation Myocardial Infarction Patients Who Underwent Successful Primary Percutaneous Intervention." Anadolu Kardiyoloji Dergisi : AKD = the Anatolian Journal of Cardiology, vol. 11, no. 3, 2011, pp. 213-7.
Ege M, Güray U, Güray Y, et al. Relationship between TIMI frame count and admission glucose values in acute ST elevation myocardial infarction patients who underwent successful primary percutaneous intervention. Anadolu Kardiyol Derg. 2011;11(3):213-7.
Ege, M., Güray, U., Güray, Y., Yılmaz, M. B., Demirkan, B., Saşmaz, A., & Korkmaz, S. (2011). Relationship between TIMI frame count and admission glucose values in acute ST elevation myocardial infarction patients who underwent successful primary percutaneous intervention. Anadolu Kardiyoloji Dergisi : AKD = the Anatolian Journal of Cardiology, 11(3), 213-7. https://doi.org/10.5152/akd.2011.055
Ege M, et al. Relationship Between TIMI Frame Count and Admission Glucose Values in Acute ST Elevation Myocardial Infarction Patients Who Underwent Successful Primary Percutaneous Intervention. Anadolu Kardiyol Derg. 2011;11(3):213-7. PubMed PMID: 21421510.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Relationship between TIMI frame count and admission glucose values in acute ST elevation myocardial infarction patients who underwent successful primary percutaneous intervention. AU - Ege,Meltem, AU - Güray,Umit, AU - Güray,Yeşim, AU - Yılmaz,Mehmet Birhan, AU - Demirkan,Burcu, AU - Saşmaz,Ali, AU - Korkmaz,Sule, Y1 - 2011/03/21/ PY - 2011/3/23/entrez PY - 2011/3/23/pubmed PY - 2012/1/25/medline SP - 213 EP - 7 JF - Anadolu kardiyoloji dergisi : AKD = the Anatolian journal of cardiology JO - Anadolu Kardiyol Derg VL - 11 IS - 3 N2 - OBJECTIVE: Admission hyperglycemia is associated with poor prognosis in patients with acute myocardial infarction. Final Thrombolysis in Myocardial Infarction (TIMI) frame counts of culprit coronary arteries may show significant variability despite successful coronary reperfusion after primary percutaneous coronary intervention (PCI). In this prospective observational study, relationship between final TIMI frame counts of the culprit coronary artery and admission glucose values was investigated in patients who underwent successful primary PCI due to acute ST-elevation myocardial infarction (STEMI). METHODS: During a 6- month period of time, 73 non-diabetic patients presented with acute STEMI who have undergone primary PCI with final TIMI 3 flow were consecutively included in the study. Patients were divided into two groups according to final TIMI frame counts. Group 1 (n=53) consisted of patients with final TIMI frame counts of the culprit coronary artery within the two standard deviation of predefined values and Group 2 (n=20) consisted of those with higher TIMI frame counts. Statistical analysis was performed using Chi-square, Mann-Whitney U tests and multiple linear regression analysis. RESULTS: Despite similar fasting glucose values, admission glucose levels were significantly higher in Group 2 as compared to Group 1 (138 [114-165] vs. 123 [97-143] mg/dl, p=0.03). In whole group, admission glucose values were significantly correlated with corrected TIMI frame counts of culprit coronary arteries (r=0.30, p=0.01). In addition, there were significant association between admission glucose values and peak creatine kinase-MB (r=0.36, p=0.007) values as well as left ventricular ejection fraction (r=-0.43, p=0.009). In multiple linear regression analysis, only admission glucose value was found to be significantly related to the final TIMI frame count of the culprit artery (β=0.04, 95%CI: 0.02-0.085, p=0.04). CONCLUSION: High admission glucose values were significantly associated with impaired coronary flow even after successful primary PCI in non-diabetic patients with STEMI. SN - 1308-0032 UR - https://www.unboundmedicine.com/medline/citation/21421510/Relationship_between_TIMI_frame_count_and_admission_glucose_values_in_acute_ST_elevation_myocardial_infarction_patients_who_underwent_successful_primary_percutaneous_intervention_ L2 - http://www.anatoljcardiol.com/linkout/?PMID=21421510 DB - PRIME DP - Unbound Medicine ER -