Usefulness of hyperglycemia in predicting renal and myocardial injury in patients with diabetes mellitus undergoing percutaneous coronary intervention.
Journal
  The American journal of cardiology.
Citation
  Am J Cardiol. 94(8):1027-9
Publication date
  2004 Oct 15
Authors
  Robertson BJ
Gascho JA
Gabbay RA
McNulty PH
Investigators
  Robert A. Gabbay
Joseph A. Gascho
MeSH headings
  Angioplasty, Transluminal, Percutaneous Coronary
Cardiomyopathies
Coronary Disease
Diabetic Angiopathies
Diabetic Nephropathies
Hyperglycemia
MeSH qualifiers
  etiology
complications
therapy
diagnosis
Abstract
  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.