Hemoglobin A1c Levels And 1-Year Mortality In Patients With St-Elevation Myocardial Infarction Undergoing Percutaneous Coronary Intervention

Nima Rahimikashkooli

Shiraz University of Medical Sciences, Iran

Abstract :

In this study, we investigated whether different levels of hemoglobin A1c (HbA1c) are associat­ed with different short-term and 1-year mortality rates among diabetic patients undergoing percutaneous coronary intervention. Patients & methods: Clinical events including in-hos­pital, 1-month and 1-year mortality were compared between three groups based on HbA1c levels of patients (I: ≤5.6%, II: 5.7–6.4%, III: ≥6.5%). Results: Among 165 diabetic individuals, patients with abnormal HbA1c levels (≥6.5%) experienced significantly higher hospitalization days (7.65 ± 1.64 days) compared with those with normal HbA1c (4.94 ± 0.97 days) (p < 0.0001). In-hospital mortality was significantly higher in group III (14.5%) and II (5.5%) compared with group I (0%) (p = 0.008). Conclusion: HbA1c levels may be a reliable predictor of short-term clinical events in diabetic patients.