Abstract：
BACKGROUND:No-reflow (NR) is a strong and independent predictor of poor cardiovascular outcomes among ST elevation myocardial infarction (STEMI) patients. AIMS:To investigate the association of acute-to-chronic (A/C) glycemic ratio with no-reflow (NR) development in STEMI patients following primary percutaneous coronary intervention (PCI). METHODS:This retrospective study included 905 STEMI patients. The A/C glycemic ratio was determined as admission blood glucose (ABG) divided by the estimated average glucose (eAG). We evaluated two primary models (full model and reduced model). The primary outcome was the presence of NR. RESULTS:The incidence of NR was 22.7% (206 cases) in the present study. We divided the study population into three tertiles (T1, T2, and T3) based on the ABG/eAG ratio. There was a stepwise increase of the frequency of NR development from the T1 to T3 group (36 patients [12%] vs. 70 patients [23%] vs. 100 patients [33%]; respectively [P < 0.001, for each group comparison]). In a full model, the ABG/eAG ratio (OR; 2.274, 95% CI; 1.587-3.26, P < 0.001) was associated with NR. After the performance of a step-down backward variable selection method, the thrombus grade, the ABG/eAG ratio, the infarct-related artery diameter, and age remained in the reduced model. The ABG/eAG ratio (contributing 25.3% of the explainable outcome in the model) was one of the strong predictors of NR in the reduced model. CONCLUSIONS:To our knowledge, this might be the first study showing a significant relationship between the ABG/eAG ratios with NR in STEMI patients after primary PCI.
journal_name
Kardiol Poljournal_title
Kardiologia polskaauthors
Şimşek B,Çınar T,Ozan V,İnan TD,Zeren G,Avcı İİ,Güngör B,Yılmaz F,Tanboğa İH,Karabay CYdoi
10.33963/KP.15736subject
Has Abstractpub_date
2020-12-31 00:00:00eissn
0022-9032issn
1897-4279pub_type
杂志文章abstract：BACKGROUND:Analysis of pathophysiological mechanisms responsible for vaso-vagal reaction reveals a close relationship between neurocardiogenic syncope and the preceding abnormalities of autonomic nervous system (ANS). Therefore, the interest in the assessment of heart rate variability (HRV) for detecting and establishi...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2002-11-01 00:00:00
abstract：:A case of a 66-year-old male with acute myocardial infarction (MI) treated with streptokinase is presented. Due to the recurrence of angina six days from the acute phase of MI, the patient underwent coronary angiography which revealed critical stenosis of the left anterior descending coronary artery. During intracoron...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2005-03-01 00:00:00
abstract：:Frequency of emergency calls for ambulance help to patients with acute myocardial infarction (MI) as well as a number of infarct complications and the influence of immediate professional help on survival of prehospital phase of acute MI is reviewed. The diagnosis of acute MI was based on a typical history of chest pai...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：1991-01-01 00:00:00
abstract：INTRODUCTION:Recurrent atrial fibrillation (AF) in the setting of haemodynamic disturbances requires frequently repeated cardioversions, which is associated with the risk of myocardial damage. It is thus necessary to identify methods which can minimise the cardioverter impulse energy. AIM:To define the defibrillation ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2006-04-01 00:00:00
abstract：BACKGROUND:Anthracycline affects various cell lines, which may contribute to left ventricular (LV) dysfunction and vascular remodelling. AIM:To assess the complex influence of anthracycline chemotherapy on the echocardiographic parameters of LV systolic and diastolic function and indices of vascular function and struc...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.5603/KP.2013.0154
更新日期：2013-01-01 00:00:00
abstract：BACKGROUND:Antiplatelet properties of omega-3 polyunsaturated fatty acids (PUFA) have been demonstrated in patients with coronary artery disease (CAD). It is unknown whether omega-3 PUFA can enhance platelet inhibition on standard aspirin and clopidogrel treatment in the setting of CYP2C19 loss-of-function polymorphism...
journal_title：Kardiologia polska
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2012-01-01 00:00:00
abstract：:We present a case of a 61 year-old woman with tachycardia originating close to the His bundle where radiofrequency (RF) ablation may bear potential risk of atrioventricular (AV) block. In this case report we discuss the possibility of a AV nodal reciprocating tachycardia with tendon of Todaro breakthrough. Patient was...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2010-08-01 00:00:00
abstract：BACKGROUND:atrial fibrillation (AF) is difficult to cure and significantly affects quality of life was well as emotional status of patients. AIM:to evaluate quality of life and depression level in patients with various patterns of AF. METHODS:we studied 150 consecutive patients with AF aged 35-83 years, including 61 ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2010-10-01 00:00:00
abstract：:Two cases of coronary artery fistulas diagnosed during coronary angiography are reported and symptomatology of this disease is discussed. The first described patient suffered mainly from chest pain and dyspnoe, the second - from paroxysmal atrial fibrillation. Indications for pharmacological and surgical treatment are...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2003-02-01 00:00:00
abstract：:Following an abbreviated historical review of literature related to angina pectoris spanning the period from olden days to the beginning of the XIX th century, this paper analyses Jan Cenner's doctoral dissertation entitled "Dissertation inauguralis medica de angor pectoris", written in Cracow, Poland in 1820. A conci...
journal_title：Kardiologia polska
pub_type： 传,历史文章,杂志文章
doi：
更新日期：2003-04-01 00:00:00
abstract：:Isolated critical stenosis of left main coronary artery (LMCA) due to atherosclerosis is very rare and affects about 0.2% of patients. We present the case of a 39-year-old, non-smoker women with risk factors for diseases of the cardiovascular system in the form of hypercholesterolaemia and hypertension, in addition to...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.5603/KP.2013.0164
更新日期：2013-01-01 00:00:00
abstract：:In the face known antihypertensive action of small dopamine (DA) concentrations, serum free and conjugated dopamine levels were determined during orthostatic impulse. It was also estimated, whether correlation between blood pressure changes and serum dopamine concentration existed under those conditions. 9 patients wi...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：1990-02-01 00:00:00
abstract：:We describe a case of a 59-year-old female with paroxysmal atrial fibrillation and arterial hypertension who had syncopal attacks due to polymorphic ventricular tachycardia (PMVT) with a short coupling interval of an initiating beat (280 msec). We excluded structural heart disease. In the resting ECG the QTc interval ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2004-06-01 00:00:00
abstract：BACKGROUND:Due to the recent rapid increase in the number of patients implanted with pacemakers, cardioverter-defibrillators (ICD), and cardiac resynchronisation therapy devices (CRT), conventional monitoring at specialist clinics is becoming increasingly difficult. The development of technology has enabled remote devi...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.5603/KP.a2016.0019
更新日期：2016-01-01 00:00:00
abstract：BACKGROUND:Although the introduction of primary percutaneous coronary interventions (PCI) improved the outcome of patients with acute myocardial infarction (MI), diabetes remains a significant factor which worsens prognosis. AIM:To compare the immediate and in-hospital results of PCI in patients with acute MI with or ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2003-06-01 00:00:00
abstract：:Infective endocarditis (IE) is an infectious disease, which leads to death when is untreated. In most cases IE is caused by typical bacteria. IE caused by atypical bacteria is rare. In this paper, we describe a female patient with IE caused by Erysipelothrix rhusiopathiae (ER). Due to inflammation and leaflets' damage...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2004-02-01 00:00:00
abstract：BACKGROUND:Currently, Shelhigh Stentless Composite Valve (SSCV) is the only complete biological conduit available on the market for this purpose. SSCV has been used to avoid anticoagulation with the advantage of established haemodynamic benefits of stentless valves as well as for its surgeon-friendly surgical implantat...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2003-01-01 00:00:00
abstract：BACKGROUND:The relationship between depression and heart disease is very complex. In the group of patients with depression the coronary artery disease risk factors related to lifestyle (lack of physical activity, smoking, hypertension, and diabetes) are frequently observed. For many years, researchers have been interes...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.5603/KP.a2015.0039
更新日期：2015-01-01 00:00:00
abstract：:A case of a 51-year old female with persistent atrial fibrillation, decompensated heart failure and polymorphic ventricular tachycardia due to acquired long QT syndrome is presented. Difficulties in monitoring QT interval and factors associated with torsades de points are discussed. ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2006-01-01 00:00:00
abstract：:119 hypertensive patients were examined by 24-hour ambulatory blood pressure monitoring (ABPM) and traditional (casual) blood pressure measurements. The echocardiographic examination was also performed. Mean and maximal systolic and diastolic blood pressure values, systolic and diastolic pressure amplitude as well as ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：1993-04-01 00:00:00
abstract：BACKGROUND:Despite results of the PROTECT AF trial, many patients undergoing left atrial appendage closure (LAAC) have unconditional contraindications to warfarin. AIM:We sought to investigate whether double antiplatelet therapy (DAPT) is safe in patients after LAAC. METHODS:Forty-four consecutive patients (22 males,...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.5603/KP.a2017.0245
更新日期：2018-01-01 00:00:00
abstract：:In 59 patients with mild or moderate essential hypertension effects of propranolol and hydrochlorothiazide on serum lipids, fibrynogen, glucose and uric acid concentrations as well as serum euglobulins fibrynolysis time were studied. 36 patients received propranolol and 23 subjects hydrochlorothiazide. Follow-up time ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：1989-01-01 00:00:00
abstract：:Diagnostic approach to and management of SHTG are not always straightforward and specialist knowledge is required, particularly with the expected increase in the rates of SHTG associated with obesity and diabetes epidemics. We hope that this article will prove helpful for physicians caring for such patients. Their man...
journal_title：Kardiologia polska
pub_type： 杂志文章,评审
doi：10.5603/KP.2013.0254
更新日期：2013-01-01 00:00:00
abstract：:Precordial maps of R, S and Q waves were performed in 43 children with congenital and acquired cardiac defects, with cardiomyopathies and also in 55 healthy children. Two subgroups with the left and right ventricular hypertrophies were separated basing on a standard electrocardiogram. Multilead electrocardiogram (M60-...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：1989-01-01 00:00:00
abstract：BACKGROUND:Major vessel stenoses are currently successfully treated with stent implantation. Recently, new cobalt-chromium stents (Andrastents XL and XXL, Andramed, Germany) have been introduced into clinical practice. This alloy combines high biocompatibility with radial strength and flexibility. AIM:To present our e...
journal_title：Kardiologia polska
pub_type： 临床试验,杂志文章
doi：
更新日期：2011-01-01 00:00:00
abstract：:Systemic lupus erythromatosus is often associated with an antiphospholipid syndrome (APS). A high prevalence of valvular heart disease in APS leads to increased risk of embolic events, particularly cerebrovascular. We present a patient with cerebral infarction, with positive lupus anticoagulant, anticardiolipin antibo...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2009-01-01 00:00:00
abstract：BACKGROUND:There are numerous data indicating a significant role of the sympathoadrenal system and the reninangiotensin- aldosterone system in the regulation of blood pressure and the pathogenesis of essential hypertension. However, the genetic background of essential hypertension remains unclear. AIM:To determine the...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2004-11-01 00:00:00
abstract：:Atrial natriuretic peptide concentrations (ANP) were determined in 4 patients with pheochromocytoma during its surgical removal. There was no correlation among ANP level, plasma catecholamines concentrations and blood pressure. Increase of plasma ANP concentration after tumor removal can be explained by simultaneously...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：1989-01-01 00:00:00
abstract：:Slow ventricular tachycardia (VT), which is below the detection rate of implantable cardioverter-defibrillator may cause haemodynamical instability, when pharmacological agents or antitachycardia pacing are unsuccessful, electrical cardioversion is necessary. We present another method of termination of slow VT by ICD,...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2009-11-01 00:00:00
abstract：BACKGROUND:Percutaneous mitral commissurotomy (PMC) has become the procedure of choice for patients with isolated mitral stenosis. AIM:To assess immediate and long-term results of PMC and identify predictors of event-free survival. METHODS:Percutaneous mitral commissurotomy was attempted in 1380 patients (mean age 49...
journal_title：Kardiologia polska
pub_type： 临床试验,杂志文章
doi：
更新日期：2008-05-01 00:00:00
