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dc.contributor.authorKurmuş, Özge
dc.contributor.authorAslan, Turgay
dc.contributor.authorEkici, Berkay
dc.contributor.authorBağlan Uzunget, Sezen
dc.contributor.authorKaraarslan, Şükrü
dc.contributor.authorTanındı, Aslı
dc.contributor.authorKervancıoğlu, Celal
dc.date.accessioned2022-03-10T19:29:19Z
dc.date.available2022-03-10T19:29:19Z
dc.date.issued2018
dc.identifier.citationKurmus, O., Aslan, T., Ekici, B., Baglan Uzunget, S., Karaarslan, S., Tanindi, A., Erkan, A. F., Akgul Ercan, E., & Kervancıoglu, C. (2018). Impact of Admission Blood Glucose on Coronary Collateral Flow in Patients with ST-Elevation Myocardial Infarction. Cardiology Research and Practice, 2018, 1–5. https://doi.org/10.1155/2018/4059542
dc.identifier.issn2090-8016
dc.identifier.issn2090-0597
dc.identifier.urihttps://doi.org/10.1155/2018/4059542
dc.identifier.urihttps://hdl.handle.net/20.500.14065/2706
dc.description.abstractIn patients with acute myocardial infarction, glucose metabolism is altered and acute hyperglycemia on admission is common regardless of diabetes status. The development of coronary collateral is heterogeneous among individuals with coronary artery disease. In this study, we aimed to investigate whether glucose value on admission is associated with collateral flow in ST-elevation myocardial infarction (STEMI) patients. We retrospectively evaluated 190 consecutive patients with a diagnosis of first STEMI within 12 hours of onset of chest pain. Coronary collateral development was graded according to Rentrop classification. Rentrop 0-1 was graded as poor collateral development, and Rentrop 2-3 was graded as good collateral development. Admission glucose was measured and compared between two groups. Mean admission glucose level was 173.0 +/- 80.1 mg/dl in study population. Forty-five (23.7%) patients had good collateral development, and 145 (76.3%) patients had poor collateral development. There were no statistically significant differences in demographic characteristics between two groups. Three-vessel disease was more common in patients with good collateral development (p = 0.026). Mean admission glucose level was higher in patients with poor collateral than good collateral (180.6 +/- 84.9 mg/dl versus 148.7 +/- 56.6 mg/dl, resp., p = 0.008). In univariate analysis, higher admission glucose was associated with poor collateral development, but multivariate logistic regression analysis revealed a borderline result (odds ratio 0.994, 95% CI 0.989-1.000, p = 0.049). Our results suggest that elevated glucose on admission may have a role in the attenuation of coronary collateral blood flow in acute myocardial infarction. Further studies are needed to validate our results.en_US
dc.language.isoengen_US
dc.publisherHindawi Ltden_US
dc.relation.ispartofCardiology Research and Practiceen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleImpact of admission blood glucose on coronary collateral flow in patients with ST-Elevation myocardial infarctionen_US
dc.typearticleen_US
dc.authoridErkan, Aycan Fahri / 0000-0002-9469-7149
dc.authoridAslan, Turgay / 0000-0002-5124-4238
dc.authoridKurmuş, Özge / 0000-0003-2067-7492
dc.authoridEkici, Berkay / 0000-0001-6135-2972
dc.authoridBağlan Uzunget, Sezen / 0000-0001-7608-3592
dc.authoridKaraarslan, Şükrü / 0000-0002-5016-4447
dc.authoridKervancıoğlu, Celal / 0000-0002-7407-5844
dc.departmentTıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyolojien_US
dc.institutionauthorErkan, Aycan Fahri
dc.institutionauthorAslan, Turgay
dc.institutionauthorKurmuş, Özge
dc.institutionauthorEkici, Berkay
dc.institutionauthorBağlan Uzunget, Sezen
dc.institutionauthorKaraarslan, Şükrü
dc.institutionauthorKervancıoğlu, Celal
dc.institutionauthorTanındı, Aslı
dc.identifier.doi10.1155/2018/4059542
dc.identifier.volume2018en_US
dc.identifier.startpage1
dc.identifier.endpage5
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.authorwosidBağlan Uzunget, Sezen / AAB-3495-2022
dc.authorwosidErkan, Aycan Fahri / AAN-5880-2021
dc.authorscopusid54924353500
dc.authorscopusid57073155000
dc.authorscopusid53463396700
dc.authorscopusid57189030258
dc.authorscopusid55358430200
dc.authorscopusid16176601000
dc.authorscopusid6602309202
dc.identifier.wosqualityQ4
dc.identifier.wosWOS:000428449900001en_US
dc.identifier.scopus2-s2.0-85045077115en_US
dc.identifier.pmid29721336en_US


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