Association of stress hyperglycemia ratio with in‐hospital new‐onset atrial fibrillation and long‐term outcomes in patients with acute myocardial infarction

狼牙棒 医学 内科学 危险系数 心肌梗塞 心脏病学 心房颤动 比例危险模型 逻辑回归 置信区间 心力衰竭 回顾性队列研究 冲程(发动机) 经皮冠状动脉介入治疗 机械工程 工程类
作者
Jiachen Luo,Zhiqiang Li,Xiaoming Qin,Xingxu Zhang,Xiangdong Liu,Wenming Zhang,Wei Xu,Baoxin Liu,Yidong Wei
出处
期刊:Diabetes-metabolism Research and Reviews [Wiley]
卷期号:40 (2) 被引量:7
标识
DOI:10.1002/dmrr.3726
摘要

Abstract Aims To investigate the predictive value and prognostic impact of stress hyperglycemia ratio (SHR) for new‐onset atrial fibrillation (NOAF) complicating acute myocardial infarction (AMI). Materials and Methods This retrospective study included 2145 AMI patients without AF history between February 2014 and March 2018. SHR was calculated using fasting blood glucose (mmol/L)/[1.59*HbA1c (%)‐2.59]. The association between SHR and post‐MI NOAF was assessed with multivariable logistic regression analyses. The primary outcome was a composite of cardiac death, heart failure hospitalisation, recurrent MI, and ischaemic stroke (MACE). Cox regression‐adjusted hazard ratios with 95% confidence intervals (CI) were estimated for MACE. Results A total of 245 (11.4%) patients developed NOAF. In the multivariable logistic regression analyses, SHR (each 10% increase) was significantly associated with increased risks of NOAF in the whole population (OR: 1.05, 95% CI: 1.01–1.10), particularly in non‐diabetic individuals (OR:1.08, 95% CI: 1.01–1.17). During a median follow‐up of 2.7 years, 370 (18.5%) MACEs were recorded. The optimal cut‐off value of SHR for MACE prediction was 1.119. Patients with both high SHR (≥1.119) and NOAF possessed the highest risk of MACE compared to those with neither high SHR nor NOAF after multivariable adjustment (HR: 2.18, 95% CI: 1.39–3.42), especially for diabetics (HR: 2.63, 95% CI: 1.41–4.91). Similar findings were observed using competing‐risk models. Conclusions SHR is an independent predictor of post‐MI NOAF in non‐diabetic individuals. Diabetic patients with both high SHR and NOAF had the highest risk of MACE, suggesting that therapies targeting SHR may be considered in these patients. Trial registration ClinicalTrials.gov , NCT03533543.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
2秒前
3秒前
赘婿应助JJ采纳,获得10
3秒前
3秒前
xyj6486发布了新的文献求助10
4秒前
李BO完成签到 ,获得积分10
5秒前
6秒前
7秒前
SciGPT应助Xixicccccccc采纳,获得10
7秒前
7秒前
heavenzzz发布了新的文献求助10
8秒前
所所应助大反应釜采纳,获得10
8秒前
Orange应助吴所谓采纳,获得50
9秒前
9秒前
无知小白完成签到,获得积分10
9秒前
moumou完成签到,获得积分10
10秒前
李钧鹏完成签到,获得积分10
10秒前
laber应助小诗人采纳,获得50
11秒前
有魅力的不评完成签到,获得积分10
11秒前
麋鹿发布了新的文献求助10
11秒前
13秒前
火星上含海完成签到,获得积分10
15秒前
小马甲应助张雯思采纳,获得10
19秒前
41应助张雯思采纳,获得10
19秒前
李健的粉丝团团长应助123采纳,获得10
19秒前
孙燕应助张雯思采纳,获得10
19秒前
打打应助张雯思采纳,获得10
19秒前
情怀应助张雯思采纳,获得10
19秒前
孙燕应助张雯思采纳,获得10
19秒前
Hello应助张雯思采纳,获得10
19秒前
搜集达人应助张雯思采纳,获得10
19秒前
赘婿应助张雯思采纳,获得10
19秒前
今后应助张雯思采纳,获得10
19秒前
量子星尘发布了新的文献求助10
20秒前
麋鹿完成签到,获得积分20
20秒前
赵子完成签到,获得积分10
23秒前
英姑应助会飞的鱼采纳,获得10
24秒前
27秒前
FashionBoy应助勤恳化蛹采纳,获得10
28秒前
30秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3989444
求助须知:如何正确求助?哪些是违规求助? 3531531
关于积分的说明 11254250
捐赠科研通 3270191
什么是DOI,文献DOI怎么找? 1804901
邀请新用户注册赠送积分活动 882105
科研通“疑难数据库(出版商)”最低求助积分说明 809174