Clinical Study

Association between Admission Hyperglycemia and Culprit Lesion Characteristics in Nondiabetic Patients with Acute Myocardial Infarction: An Intravascular Optical Coherence Tomography Study

Table 1

Baseline characteristics of the study population.

Non-DM by A/C tertilesDM
<1.08
1.08-1.22
>1.22

Age0.4380.725
BMI (kg/m2)0.4670.038
Men150 (82.4)53 (88.3)49 (79.0)48 (80.0)0.23277 (81.1)0.779
Smoking125 (68.7)46 (76.7)42 (67.7)37 (61.7)0.07767 (70.5)0.752
Time from symptom onset (hour)6.1 (2.9, 13.8)7.3 (3.8, 14.7)7.9 (3.3, 16.9)3.7 (2.3, 8.0)0.0055.3 (2.7, 11.5)0.576
Hypertension101 (55.5)36 (60.0)31 (50.0)34 (56.7)0.71461 (64.2)0.162
Dyslipidemia166 (91.2)54 (90.0)55 (88.7)57 (95.0)0.33585 (89.5)0.638
Prior PCI12 (6.6)3 (5.0)5 (8.1)4 (6.7)0.7149 (9.5)0.390
ABG (mg/dl)132.6 (119.5, 146.3)116.4 (108.5, 124.3)133.5 (126.1, 142.0)154.6 (139.0, 177.2)<0.001211.5 (177.2, 271.3)<0.001
HbA1c (%)5.7 (5.5, 5.9)5.8 (5.6, 6.0)5.7 (5.5, 5.9)5.6 (5.4, 5.8)<0.0017.9 (7.0, 9.3)<0.001
A/C1.15 (1.03, 1.27)0.97 (0.92, 1.03)1.15 (1.10, 1.18)1.34 (1.27, 1.46)<0.0011.21 (1.03, 1.38)0.127
cTnI0.0090.583
CK-MB0.0380.200
WBC (106/l)0.0820.995
Hb (g/l)0.9930.331
TC (mg/dl)0.8580.108
TG (mg/dl)0.988<0.001
HDL-C (mg/dl)0.0740.189
LDL-C (mg/dl)0.8880.327
Lp(a) (mg/l)0.130130.2 (54.5, 309.8)0.070
eGFR (mL/min/1.73 m2)0.1830.211
Hs-CRP (mg/l)5.3 (2.5, 10.9)5.6 (2.9, 11.1)5.9 (2.8, 10.4)4.6 (1.8, 11.0)0.3376.4 (2.7, 10.3)0.748
LVEF (%)0.0920.208
Aspirin63 (34.6)25 (41.7)19 (30.6)19 (31.7)0.25141 (43.2)0.163
P2Y12 inhibitor42 (23.1)17 (28.3)15 (24.2)10 (16.7)0.13028 (29.5)0.245
Statin34 (18.7)11 (18.3)12 (19.4)11 (18.3)1.00013 (13.7)0.293
Culprit vessels0.2400.245
 LAD88 (48.4)28 (46.7)26 (41.9)34 (56.7)47 (49.5)
 LCX23 (12.6)5 (8.3)13 (21.0)5 (8.3)6 (6.3)
 RCA71 (39.0)27 (45.0)23 (37.1)21 (35.0)42 (44.2)
LM disease5 (2.7)3 (5.0)1 (1.6)1 (1.7)0.2651 (1.1)0.358
MVD127 (69.8)43 (71.7)41 (66.1)43 (71.7)1.00077 (81.1)0.043
Pre-TIMI flow0.7630.480
 0124 (68.1)39 (65.0)43 (69.4)42 (70.0)56 (58.9)
 19 (4.9)4 (6.7)3 (4.8)2 (3.3)5 (5.3)
 215 (8.2)6 (10.0)4 (4.8)5 (8.3)10 (10.5)
 334 (18.7)11 (18.3)12 (19.4)11 (18.3)24 (25.3)
Aspiration107 (58.8)35 (58.3)37 (59.7)35 (58.3)1.00065 (68.4)0.117
Predilation148 (81.3)48 (80.0)50 (80.6)50 (83.3)0.64072 (75.8)0.280

Data shown are number (%), median (25th, 75th percentiles), or . ABG: acute blood glucose; A/C: acute-to-chronic glycemic ratio; BMI: body mass index; CK-MB: creatine kinase MB; cTnI: cardiac troponin I; DM: diabetes mellitus; eGFR: estimated glomerular filtration rate; HbA1c: glycosylated hemoglobin; HDL-C: high-density lipoprotein cholesterol; Hs-CRP: high-sensitivity C-reactive protein; LAD: left anterior descending artery; LCX: left circumflex artery; LM: left main coronary artery; LVEF: left ventricular ejection fraction; MVD: multivessel disease; non-DM: patients without diabetes mellitus; PCI: percutaneous coronary intervention; RCA: right coronary artery; TC: total cholesterol; TG: triglyceride; TIMI: thrombolysis in myocardial infarction; WBC; white blood cell.