Admission Hyperglycemia and TIMI Frame Count in Primary Percutaneous Coronary Intervention

作者：Yildiz Ahmet; Arat Ozkan Alev^*; Kocas Cuneyt; Abaci Okay; Coskun Ugur; Bostan Cem; Olcay Ayhan; Akturk Faruk; Okcun Baris; Ersanli Murat; Gurmen Tevfik

来源：Angiology, 2012, 63(5): 325-329.

DOI：10.1177/0003319711418957

• coronary flow
• blood glucose
• ST-segment elevation myocardial infarction

We evaluated the relationship between admission blood glucose levels and estimated coronary flow by the thrombolysis in myocardial infarction (TIMI) frame count (TFC) method in patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (pPCI). The TFC of 121 consecutive patients with STEMI were evaluated after pPCI. Patients with admission glucose levels %26gt; 198 mg/dL (11 mmol/L) were defined as hyperglycemic. Hyperglycemia was observed in 36 (29.8%) patients. The TFC was significantly higher in patients with hyperglycemia (70.75 [10-96] vs 56.87 [8-100], P = .04). No-reflow frequency was higher in the hyperglycemia group (44.4% vs 23.5%, P = .02). In multivariate linear regression analysis admission glucose was an independent predictor of high TFC (B = 0.21, P = .02). Our findings suggest that admission blood glucose is a predictor of TFC which reflects coronary blood flow.

• 出版日期2012-7