Cargando…

The Level of HbA1c Evaluates the Extent of Coronary Atherosclerosis Lesions and the Prognosis in Diabetes with Acute Coronary Syndrome

BACKGROUND: The level of HbA1c can reflect the average level of blood glucose over 3 months, which is the gold standard indicator for monitoring blood glucose. The relationship between the level of HbA1c and the extent of coronary atherosclerosis lesions or the prognosis in diabetes with acute coron...

Descripción completa

Detalles Bibliográficos
Autores principales: Xu, Shaodong, Zhou, Birong, Zhou, Bingfeng, Zheng, Jianfa, Xu, Qinghe, Wang, Bing, Fu, Minmin, Meng, Ying
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9337927/
https://www.ncbi.nlm.nih.gov/pubmed/35912151
http://dx.doi.org/10.1155/2022/7796809
_version_ 1784759856340664320
author Xu, Shaodong
Zhou, Birong
Zhou, Bingfeng
Zheng, Jianfa
Xu, Qinghe
Wang, Bing
Fu, Minmin
Meng, Ying
author_facet Xu, Shaodong
Zhou, Birong
Zhou, Bingfeng
Zheng, Jianfa
Xu, Qinghe
Wang, Bing
Fu, Minmin
Meng, Ying
author_sort Xu, Shaodong
collection PubMed
description BACKGROUND: The level of HbA1c can reflect the average level of blood glucose over 3 months, which is the gold standard indicator for monitoring blood glucose. The relationship between the level of HbA1c and the extent of coronary atherosclerosis lesions or the prognosis in diabetes with acute coronary syndrome (ACS) remains poorly understood. AIMS: To explore whether the level of HbA1c can evaluate the extent of coronary atherosclerosis lesions or the prognosis in diabetes with acute coronary syndrome (ACS) using the SYNTAX score, the Global Registry of Acute Coronary Events (GRACE) score, left ventricular function (LVEF), left ventricular end-diastolic volume (LVEDV), and major adverse cardiac events (MACEs) in the hospital and 12 months after discharge. METHODS: This study was a prospective, randomized, open-label, and parallel group study. Patients with diabetes with ACS were recruited into this study indiscriminately, and all the participants were divided into two groups according to the level of HbA1c: HbA1c level ≤ 7%group and HbA1c level > 7%group. The followings were used as the evaluation indicators: SYNTAX score, GRACE score, LVEF, LVEDV, and MACEs in hospital and 12 months after discharge. RESULTS: A total of 233 patients with diabetes and ACS were enrolled and assigned to two groups according to their level of HbA1c: the HbA1c ≤ 7%group (n = 92) and the HbA1c > 7%group (n = 141). The results showed that the proportion of STEMI was higher in the HbA1c ≤7% group (p < 0.05), while the proportion of NSTEMI has not significantly higher in the HbA1c >7% group (p > 0.05). Regression analysis indicated that HbA1c level was significantly positively correlated with GRACE score (r = 0.156, F = 5.784, p = 0.017, n = 233) and SYNTAX score (r = 0.237, F = 13.788, p < 0.001, n = 233), and there were no statistically significant differences in LVEDV and LVEF between the two groups (p > 0.05). The total MACEs rate showed no significant difference between the two groups during hospitalization (p > 0.05) but showed significant differences at 12 months after discharge (p < 0.05). CONCLUSIONS: This study shows that HbA1c level was positively correlated with the extent of coronary atherosclerosis lesions and the prognosis in diabetes with ACS. The higher the HbA1c level is, the more severe the coronary atherosclerotic lesion and the worse the prognosis in diabetes with ACS are.
format Online
Article
Text
id pubmed-9337927
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Hindawi
record_format MEDLINE/PubMed
spelling pubmed-93379272022-07-30 The Level of HbA1c Evaluates the Extent of Coronary Atherosclerosis Lesions and the Prognosis in Diabetes with Acute Coronary Syndrome Xu, Shaodong Zhou, Birong Zhou, Bingfeng Zheng, Jianfa Xu, Qinghe Wang, Bing Fu, Minmin Meng, Ying Comput Math Methods Med Research Article BACKGROUND: The level of HbA1c can reflect the average level of blood glucose over 3 months, which is the gold standard indicator for monitoring blood glucose. The relationship between the level of HbA1c and the extent of coronary atherosclerosis lesions or the prognosis in diabetes with acute coronary syndrome (ACS) remains poorly understood. AIMS: To explore whether the level of HbA1c can evaluate the extent of coronary atherosclerosis lesions or the prognosis in diabetes with acute coronary syndrome (ACS) using the SYNTAX score, the Global Registry of Acute Coronary Events (GRACE) score, left ventricular function (LVEF), left ventricular end-diastolic volume (LVEDV), and major adverse cardiac events (MACEs) in the hospital and 12 months after discharge. METHODS: This study was a prospective, randomized, open-label, and parallel group study. Patients with diabetes with ACS were recruited into this study indiscriminately, and all the participants were divided into two groups according to the level of HbA1c: HbA1c level ≤ 7%group and HbA1c level > 7%group. The followings were used as the evaluation indicators: SYNTAX score, GRACE score, LVEF, LVEDV, and MACEs in hospital and 12 months after discharge. RESULTS: A total of 233 patients with diabetes and ACS were enrolled and assigned to two groups according to their level of HbA1c: the HbA1c ≤ 7%group (n = 92) and the HbA1c > 7%group (n = 141). The results showed that the proportion of STEMI was higher in the HbA1c ≤7% group (p < 0.05), while the proportion of NSTEMI has not significantly higher in the HbA1c >7% group (p > 0.05). Regression analysis indicated that HbA1c level was significantly positively correlated with GRACE score (r = 0.156, F = 5.784, p = 0.017, n = 233) and SYNTAX score (r = 0.237, F = 13.788, p < 0.001, n = 233), and there were no statistically significant differences in LVEDV and LVEF between the two groups (p > 0.05). The total MACEs rate showed no significant difference between the two groups during hospitalization (p > 0.05) but showed significant differences at 12 months after discharge (p < 0.05). CONCLUSIONS: This study shows that HbA1c level was positively correlated with the extent of coronary atherosclerosis lesions and the prognosis in diabetes with ACS. The higher the HbA1c level is, the more severe the coronary atherosclerotic lesion and the worse the prognosis in diabetes with ACS are. Hindawi 2022-07-22 /pmc/articles/PMC9337927/ /pubmed/35912151 http://dx.doi.org/10.1155/2022/7796809 Text en Copyright © 2022 Shaodong Xu et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Xu, Shaodong
Zhou, Birong
Zhou, Bingfeng
Zheng, Jianfa
Xu, Qinghe
Wang, Bing
Fu, Minmin
Meng, Ying
The Level of HbA1c Evaluates the Extent of Coronary Atherosclerosis Lesions and the Prognosis in Diabetes with Acute Coronary Syndrome
title The Level of HbA1c Evaluates the Extent of Coronary Atherosclerosis Lesions and the Prognosis in Diabetes with Acute Coronary Syndrome
title_full The Level of HbA1c Evaluates the Extent of Coronary Atherosclerosis Lesions and the Prognosis in Diabetes with Acute Coronary Syndrome
title_fullStr The Level of HbA1c Evaluates the Extent of Coronary Atherosclerosis Lesions and the Prognosis in Diabetes with Acute Coronary Syndrome
title_full_unstemmed The Level of HbA1c Evaluates the Extent of Coronary Atherosclerosis Lesions and the Prognosis in Diabetes with Acute Coronary Syndrome
title_short The Level of HbA1c Evaluates the Extent of Coronary Atherosclerosis Lesions and the Prognosis in Diabetes with Acute Coronary Syndrome
title_sort level of hba1c evaluates the extent of coronary atherosclerosis lesions and the prognosis in diabetes with acute coronary syndrome
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9337927/
https://www.ncbi.nlm.nih.gov/pubmed/35912151
http://dx.doi.org/10.1155/2022/7796809
work_keys_str_mv AT xushaodong thelevelofhba1cevaluatestheextentofcoronaryatherosclerosislesionsandtheprognosisindiabeteswithacutecoronarysyndrome
AT zhoubirong thelevelofhba1cevaluatestheextentofcoronaryatherosclerosislesionsandtheprognosisindiabeteswithacutecoronarysyndrome
AT zhoubingfeng thelevelofhba1cevaluatestheextentofcoronaryatherosclerosislesionsandtheprognosisindiabeteswithacutecoronarysyndrome
AT zhengjianfa thelevelofhba1cevaluatestheextentofcoronaryatherosclerosislesionsandtheprognosisindiabeteswithacutecoronarysyndrome
AT xuqinghe thelevelofhba1cevaluatestheextentofcoronaryatherosclerosislesionsandtheprognosisindiabeteswithacutecoronarysyndrome
AT wangbing thelevelofhba1cevaluatestheextentofcoronaryatherosclerosislesionsandtheprognosisindiabeteswithacutecoronarysyndrome
AT fuminmin thelevelofhba1cevaluatestheextentofcoronaryatherosclerosislesionsandtheprognosisindiabeteswithacutecoronarysyndrome
AT mengying thelevelofhba1cevaluatestheextentofcoronaryatherosclerosislesionsandtheprognosisindiabeteswithacutecoronarysyndrome
AT xushaodong levelofhba1cevaluatestheextentofcoronaryatherosclerosislesionsandtheprognosisindiabeteswithacutecoronarysyndrome
AT zhoubirong levelofhba1cevaluatestheextentofcoronaryatherosclerosislesionsandtheprognosisindiabeteswithacutecoronarysyndrome
AT zhoubingfeng levelofhba1cevaluatestheextentofcoronaryatherosclerosislesionsandtheprognosisindiabeteswithacutecoronarysyndrome
AT zhengjianfa levelofhba1cevaluatestheextentofcoronaryatherosclerosislesionsandtheprognosisindiabeteswithacutecoronarysyndrome
AT xuqinghe levelofhba1cevaluatestheextentofcoronaryatherosclerosislesionsandtheprognosisindiabeteswithacutecoronarysyndrome
AT wangbing levelofhba1cevaluatestheextentofcoronaryatherosclerosislesionsandtheprognosisindiabeteswithacutecoronarysyndrome
AT fuminmin levelofhba1cevaluatestheextentofcoronaryatherosclerosislesionsandtheprognosisindiabeteswithacutecoronarysyndrome
AT mengying levelofhba1cevaluatestheextentofcoronaryatherosclerosislesionsandtheprognosisindiabeteswithacutecoronarysyndrome