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Table 1 Baseline characteristics of the patients according to the glycated hemoglobin level

From: J-curve relationship between long term glycemic control and mortality in diabetic patients with acute myocardial infarction undergoing percutaneous coronary intervention

 

HbA1c ≤ 6.5% (N = 245)

6.5% < HbA1c ≤ 7.0% (N = 273)

7.0% < HbA1c ≤ 7.5% (N = 243)

7.5% < HbA1c ≤ 8.0% (N = 206)

HbA1c > 8.0% (N = 417)

p

Mean HbA1c level

6.2 ± 0.3

6.8 ± 0.1

7.3 ± 0.1

7.7 ± 0.1

9.0 ± 0.8

< 0.001

Number of HbA1c measurement

5.0 [3.0, 7.0]

4.0 [3.0, 6.0]

5.0 [3.0, 6.0]

4.0 [3.0, 6.0]

4.0 [3.0, 6.0]

0.05

Hb A1c measurement interval, days

447 [272, 636]

446 [340, 674]

468 [351, 671]

512 [368, 726]

467 [344, 653]

0.055

Mean follow-up period, years

6.3 ± 2.3

6.5 ± 2.3

6.6 ± 2.3

6.3 ± 2.2

6.4 ± 2.5

0.798

Age (years)

62.9 ± 10.8

60.9 ± 11.0

61.4 ± 11.2

59.5 ± 11.2

58.0 ± 11.2

< 0.001

 Age ≥ 65 (%)

113 (46.1)

108 (39.6)

109 (44.9)

72 (35.0)

121 (29.0)

< 0.001

Male (%)

179 (73.1)

211 (77.3)

185 (76.1)

148 (71.8)

289 (69.3)

0.147

BMI (kg/m2)

24.8 ± 3.2

25.1 ± 3.1

25.2 ± 3.3

24.9 ± 3.2

24.7 ± 3.4

0.3

Diagnosis (%)

0.24

 STEMI

128 (52.2)

127 (46.5)

122 (50.2)

104 (50.5)

184 (44.1)

 

 NSTEMI

117 (47.8)

146 (53.5)

121 (49.8)

102 (49.5)

233 (55.9)

 

Cardiac arrest on arrival (%)

2 (0.8)

2 (0.7)

0 (0.0)

1 (0.5)

1 (0.2)

0.553

Systolic BP (mmHg)

130.9 ± 26.5

134.2 ± 27.1

131.5 ± 26.5

132.7 ± 27.1

130.4 ± 28.5

0.45

Diastolic BP (mmHg)

79.7 ± 16.0

80.5 ± 15.6

79.9 ± 17.2

80.2 ± 17.4

78.9 ± 17.0

0.749

Heart rate (bpm)

79.1 ± 20.8

79.4 ± 18.5

80.2 ± 17.4

81.4 ± 18.0

82.2 ± 19.8

0.223

Killip class ≥ 3 (%)

223 (91.0)

252 (92.3)

225 (92.6)

182 (88.3)

362 (86.8)

0.063

Hypertension (%)

168 (68.6)

157 (57.5)

143 (58.8)

132 (64.1)

228 (54.7)

0.005

Dyslipidemia on drug treatment (%)

40 (16.3)

53 (19.4)

42 (17.3)

39 (18.9)

70 (16.8)

0.853

Current smoker (%)

89 (36.3)

115 (42.1)

95 (39.1)

76 (36.9)

187 (44.8)

0.157

History of MI (%)

7 (2.9)

4 (1.5)

10 (4.1)

8 (3.9)

14 (3.4)

0.432

History of PCI (%)

17 (6.9)

15 (5.5)

13 (5.3)

16 (7.8)

20 (4.8)

0.572

History of stroke (%)

23 (9.4)

24 (8.8)

14 (5.8)

6 (2.9)

25 (6.0)

0.037

History of cancer (%)

8 (3.3)

10 (3.7)

4 (1.6)

7 (3.4)

9 (2.2)

0.545

LV EF, %

53.4 ± 11.0

53.3 ± 11.0

54.4 ± 10.4

53.4 ± 11.0

51.3 ± 10.5

0.003

Total cholesterol (mg/dL)

169.5 ± 41.2

173.7 ± 41.9

176.4 ± 42.2

179.5 ± 45.3

182.0 ± 46.6

0.008

Triglyceride (mg/dL)

129.9 ± 104.5

141.6 ± 96.5

153.2 ± 118.6

156.1 ± 113.3

161.1 ± 141.2

0.013

HDL cholesterol (mg/dL)

40.3 ± 10.3

39.8 ± 10.4

39.6 ± 11.6

39.5 ± 8.9

39.4 ± 9.4

0.866

LDL cholesterol (mg/dL)

105.3 ± 35.6

108.9 ± 36.3

108.6 ± 35.2

112.1 ± 39.8

113.5 ± 39.2

0.09

eGFR (mL/min/1.73 m2)

73.3 [55.1, 91.9]

81.6 [63.1, 95.8]

81.0 [60.3, 97.1]

78.5 [61.4, 97.8]

79.9 [59.2, 99.9]

0.015

 Dialysis (%)

8 (3.3)

4 (1.5)

3 (1.2)

1 (0.5)

9 (2.2)

0.237

 eGFR ≤ 30 (%)

21 (8.6)

18 (6.6)

18 (7.4)

9 (4.4)

27 (6.5)

0.495

 30 < eGFR ≤ 60 (%)

53 (21.6)

38 (13.9)

42 (17.3)

38 (18.4)

77 (18.5)

0.244

GRACE score

139.0 [116.0, 156.0]

133.0 [112.0, 153.0]

135.0 [107.5, 158.0]

126.0 [109.0, 150.8]

133.0 [112.0, 153.0]

0.251

GNRI

97.8 ± 8.6

99.7 ± 16.9

97.9 ± 7.7

97.4 ± 8.2

96.3 ± 8.1

0.002a

Discharge medication

 

 Aspirin (%)

244 (99.6)

266 (97.4)

239 (98.4)

205 (99.5)

412 (98.8)

0.204

 Clopidogrel (%)

213 (86.9)

237 (86.8)

215 (88.5)

181 (87.9)

365 (87.5)

0.98

 Potent P2Y12 inhibitor (%)

31 (12.7)

36 (13.2)

28 (11.5)

25 (12.1)

52 (12.5)

0.986

 Statin (%)

219 (94.4)

239 (96.8)

216 (96.4)

181 (94.3)

375 (96.6)

0.437

 Beta blocker (%)

196 (92.9)

238 (96.0)

209 (94.1)

179 (95.7)

334 (93.3)

0.487

 RAS blocker (%)

161 (65.7)

182 (66.7)

167 (68.7)

138 (67.0)

305 (73.1)

0.227

 Anticoagulation (%)

6 (2.4)

9 (3.3)

8 (3.3)

7 (3.4)

11 (2.6)

0.95

 Glucose-lowering treatment (%)

128 (52.2%)

172 (63.0%)

144 (59.3%)

143 (69.4%)

294 (70.5%)

< 0.001

 Insulin (%)

11 (4.5)

19 (7.0)

17 (7.0)

21 (10.2)

57 (13.8)

< 0.001

 Metformin (%)

76 (31.1)

117 (42.9)

95 (39.3)

105 (51.5)

193 (46.6)

< 0.001

 Sulfonylurea (%)

51 (20.8)

74 (27.2)

68 (28.1)

75 (36.8)

160 (38.6)

< 0.001

 Thiazolidinedione (%)

0 (0.0)

0 (0.0)

0 (0.0)

1 (0.5)

2 (0.5)

0.498

 DPP4 inhibitor (%)

10 (4.1)

17 (6.3)

16 (6.6)

13 (6.3)

28 (6.8)

0.699

 α-glucosidase (%)

8 (3.3)

14 (5.2)

14 (5.8)

17 (8.3)

33 (8.0)

0.097

Angiographic data

 

 Culprit lesion (%)

0.466

  LM/LAD

128 (52.3)

130 (47.6)

116 (47.7)

106 (51.5)

196 (47.0)

 

  RCA/LCX

117 (47.8)

143 (52.4)

127 (52.3)

100 (48.6)

221 (53.0)

 

 LM disease (%)

21 (8.6)

11 (4.0)

13 (5.3)

13 (6.3)

24 (5.8)

0.281

 Multivessel disease (%)

96 (39.2)

106 (38.8)

87 (35.8)

84 (40.8)

157 (37.6)

0.85

 Complete revascularization (%)

179 (73.1)

183 (67.0)

163 (67.1)

146 (70.9)

292 (70.0)

0.531

 Total stent number

1.7 ± 0.9

1.6 ± 0.9

1.7 ± 0.8

1.6 ± 1.0

1.7 ± 1.0

0.299

 Mean stent diameter

3.2 ± 0.4

3.2 ± 0.4

3.1 ± 0.4

3.1 ± 0.4

3.1 ± 0.4

0.071

 Total stent length

34.9 ± 22.8

34.4 ± 20.5

33.9 ± 18.4

35.7 ± 22.5

37.0 ± 23.1

0.387

  1. Values are reported as n (%), mean ± SD, or median [interquartile range]
  2. HbA1c glycated hemoglobin A, BMI body mass index, STEMI ST-elevation myocardial infarction, NSTEMI non-ST-elevation myocardial infarction, BP blood pressure, MI myocardial infarction, PCI percutaneous coronary intervention, CABG coronary artery bypass surgery, LV EF left ventricular ejection fraction, eGFR estimated glomerular filtration rate, HDL high-density lipoprotein, LDL low-density lipoprotein, GRACE Global Registry of Acute Coronary Events, GNRI Geriatric Nutritional Risk Index, RAS renin angiotensin system blocker, PPAR peroxisome proliferator-activated receptor, DPP4 dipeptidyl peptidase-4, LM left main, LAD left anterior descending artery, RCA right coronary artery, LCX left circumflex artery
  3. aIn Bonferroni post hoc analysis, only GNRI of patients with HbA1c > 8.0% was significantly lower than that of patients with HbA1c of 6.5 to 7.0%