Impact of glucometabolic status on type 4a myocardial infarction in patients with non-ST-segment elevation myocardial infarction: the role of stress hyperglycemia ratio.

ABSTRACT:

Background

Type 4a myocardial infarction (MI) is a relevant complication in non-ST-segment elevation myocardial infarction (NSTEMI) patients undergoing percutaneous coronary intervention (PCI). While glucometabolic status has been linked to type 4a MI in chronic coronary syndromes, data in the acute setting are lacking. This study aimed to assess the association of glucometabolic parameters-admission blood glucose (ABG), glycated hemoglobin (HbA1c) and stress hyperglycemia ratio (SHR)-with type 4a MI in NSTEMI patients undergoing PCI and evaluate their independent predictive role.

Methods

Consecutive NSTEMI patients undergoing PCI from the AMIPE multicenter prospective registry (NCT03883711) with stable or falling pre-procedural cardiac troponin levels were analyzed. The opt

SUBMITTER: Armillotta M 

PROVIDER: S-EPMC12514836 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature