Killip classification and glucose level in patients with acute myocardial infarction

• Published in: The American journal of emergency medicine Vol. 28; no. 8; pp. 853 - 856
• Main Authors: Cheng, Hsien-Hung, Yen, Pai-Chun
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.10.2010; Elsevier; Elsevier Limited
• Subjects: Aged; Analysis of Variance; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Biological and medical sciences; Blood Glucose - analysis; Cardiology. Vascular system; Chi-Square Distribution; Classification; Coronary Angiography - statistics & numerical data; Coronary heart disease; Diabetes; Emergency; Emergency medical care; Female; Glucose; Heart; Heart attacks; Hospitalization - statistics & numerical data; Humans; Hyperglycemia; Intensive care medicine; Male; Medical sciences; Middle Aged; Mortality; Myocardial infarction; Myocardial Infarction - blood; Myocardial Infarction - diagnosis; Myocardial Infarction - mortality; Prognosis; Retrospective Studies; Severity of Illness Index; Variance analysis; Human; Myocardial infarction; Intensive care; Classification; Cardiovascular disease; Glucose; Coronary heart disease; Myocardial disease; Resuscitation
• ISSN: 0735-6757; 1532-8171; 1532-8171
• DOI: 10.1016/j.ajem.2009.04.029

Killip classification is a valuable prognostic stratification for patients with acute myocardial infarction. Patients with high initial glucose levels also have adverse outcomes. We hypothesize that an increase in the Killip classification rank of patients with acute myocardial infarction might be associated with increase in initial glucose levels. In a retrospective cohort study, patients receiving percutaneous coronary angiography after an acute myocardial infarction were enrolled. Patients were accorded Killip classifications, and the data were compared using the χ 2 and 1-way analysis of variance tests. The study was conducted on 246 eligible subjects. Higher initial glucose levels were associated with higher rate of hospitalization within 1 year as well as mortality ( P < .05). Glucose levels among the 4 Killip classes were different ( P < .05). Patients ranked in the higher Killip classes had higher glucose levels than those ranked in the lower classes.