Usefulness of hyperglycemia in predicting renal and myocardial injury in patients with diabetes mellitus undergoing percutaneous coronary intervention.
A retrospective analysis of 165 patients who had diabetes mellitus and underwent percutaneous coronary intervention (PCI) between 1998 and 2003 demonstrated that those whose plasma glucose levels were >/=200 mg/dl before PCI exhibited greater creatine phosphokinase release and serum creatinine increases after PCI. These observations identified hyperglycemia as a potentially modifiable mediator of myocardial and renal injuries in patients who have diabetes and have undergone PCI.
Division of Cardiology, Penn State College of Medicine, Hershey, Pennsylvania 17033, USA.
Bryan J
BJ
Robertson
Joseph A
JA
Gascho
Robert A
RA
Gabbay
Patrick H
PH
McNulty
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D009202:Cardiomyopathies / Q000209:etiology*; D003327:Coronary Disease / Q000150:complications* / Q000628:therapy*; D003925:Diabetic Angiopathies / Q000150:complications*; D003928:Diabetic Nephropathies / Q000209:etiology*; D005260:Female; D006801:Humans; D006943:Hyperglycemia / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D012189:Retrospective Studies