Author/Authors :
Timmer، نويسنده , , Jorik R. and van der Horst، نويسنده , , Iwan C.C. and de Luca، نويسنده , , Giuseppe and Ottervanger، نويسنده , , Jan Paul and Hoorntje، نويسنده , , Jan C.A. and de Boer، نويسنده , , Menko-Jan and Suryapranata، نويسنده , , Harry and Dambrink، نويسنده , , Jan-Henk E. and Gosselink، نويسنده , , Marcel and Zijlstra، نويسنده , , Felix and van ’t Hof، نويسنده , , Arnoud ، نويسنده ,
Abstract :
Patients with diabetes mellitus (DM) have an adverse prognosis after ST-segment elevation myocardial infarction (STEMI). Whether DM was associated with impaired myocardial reperfusion after successful primary percutaneous coronary intervention for STEMI was investigated. Myocardial reperfusion was assessed by ST-segment resolution and myocardial blush grade (MBG). A total of 386 patients were studied, of whom 64 (17%) had DM. These patients more frequently had reduced MBG (20% vs 10%, p = 0.02) and incomplete ST-segment resolution (55% vs 35%, p = 0.02) compared with patients without DM. After multivariate analysis, DM was still associated with impaired ST resolution (odds ratio 2.1, p = 0.03) and reduced MBG (odds ratio 2.2, p = 0.03).
