Acute-Phase Glucose Fluctuation Is Negatively Correlated With Myocardial Salvage After Acute Myocardial Infarction

Teraguchi, Ikuko; Imanishi, Toshio; Ozaki, Yuichi; Tanimoto, Takashi; Ueyama, Masashi; Orii, Makoto; Shiono, Yasutsugu; Shimamura, Kazuo; Ishibashi, Keiichiro; Yamano, Takashi; Ino, Yasushi; Yamaguchi, Tomoyuki; Hirata, Kumiko; Kubo, Takashi; Sanke, Tokio

doi:10.1253/circj.cj-13-0723

Cited by 39 publications

(35 citation statements)

References 36 publications

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“…25 Their findings are consistent with our results, although they did not examine the relationship of MAGE to LVR.…”

Section: Utility Of Gvsupporting

confidence: 89%

“…Second, we did not measure oxidative stress markers in the present study, but it is widely recognized that GV causes much higher oxidative stress than does chronic sustained hyperglycemia. 19, 25 Third, we excluded high-risk patients such as those with severe chronic kidney disease or clinical instability. It remains uncertain if our results apply to these subgroups of patients.…”

Section: Study Limitationsmentioning

confidence: 99%

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Glycemic Variability Determined by Continuous Glucose Monitoring System Predicts Left Ventricular Remodeling in Patients With a First ST-Segment Elevation Myocardial Infarction

Gohbara

Iwahashi

Kataoka

et al. 2015

Circ J

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Background: Impaired glucose metabolism plays an important role in patients with acute myocardial infarction, but the clinical significance of glycemic variability (GV) early after the onset of ST-segment elevation myocardial infarction (STEMI) remains to be fully elucidated. Methods and Results:We prospectively investigated the clinical impact of GV, as determined by a continuous glucose monitoring system (CGMS), on left ventricular remodeling (LVR) assessed by cardiac magnetic resonance imaging (CMR) in 69 patients (63±13 years, 59 men) with a first reperfused STEMI within 12 h of onset. All patients were equipped with a CGMS when in a stable phase after admission and underwent repeat CMR at baseline and 7 months follow-up. Patients were divided into 2 groups according to the mean amplitude of glycemic excursions (MAGE). Patients in the upper tertile of MAGE were categorized as group High (H) and the other two-thirds as group Low (L). LVR was defined as an absolute increase in left ventricular end-diastolic volume index of ≥20%. LVR more frequently occurred in group H than in group L (56% vs. 11%, P<0.001). Multivariate analysis showed the higher MAGE group was an independent predictor of LVR in the chronic phase (odds ratio, 13.999; 95% confidence interval, 3.059 to 64.056; P=0.001).Conclusions: MAGE early after the onset of STEMI identified patients with LVR in the chronic phase. (Circ J 2015; 79: 1092 -1099

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“…25 Their findings are consistent with our results, although they did not examine the relationship of MAGE to LVR.…”

Section: Utility Of Gvsupporting

confidence: 89%

Section: Study Limitationsmentioning

confidence: 99%

Glycemic Variability Determined by Continuous Glucose Monitoring System Predicts Left Ventricular Remodeling in Patients With a First ST-Segment Elevation Myocardial Infarction

Gohbara

Iwahashi

Kataoka

et al. 2015

Circ J

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show abstract

“…CGMS is a prerequisite for the accurate evaluation of GV. Studies using CGMS to accurately evaluate GV in patients with ACS, however, remain scarce and have examined only the relationship of GV to inhospital outcome, 23 1-year outcome, 24 myocardial salvage index on cardiac magnetic resonance imaging, 25 or coronary plaque rupture in culprit lesions. 26 To our knowledge, this is the first to demonstrate an association between MAGE and RP.…”

Section: Gv In Acsmentioning

confidence: 99%

Glycemic Variability on Continuous Glucose Monitoring System Predicts Rapid Progression of Non-Culprit Lesions in Patients With Acute Coronary Syndrome

Kataoka

Gohbara

Iwahashi

et al. 2015

Circ J

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“…Perioperative hypoglycemia or hyperglycemia is a crucial factor that induces complications and death after brain surgery, so strict control of blood glucose can effectively shorten the hospital stays and improve the prognosis of patients (Miyake, 2014). The study revealed that glucose fluctuation could injure multiple organ function by damaging mitochondrial function, inhibiting immune system and up-regulating the level of proinflammatory cytokines (Franca et al, 2014;Teraguchi et al, 2014). Hence, monitoring intraoperative glucose…”

Section: Introductionmentioning

confidence: 99%

Effect of Intraoperative Glucose Fluctuation and Postoperative IL-6, TNF-α, CRP Levels on the Short-term Prognosis of Patients with Intracranial Supratentorial Neoplasms

Liu¹,

Liu²,

Huang³

2015

Asian Pacific Journal of Cancer Prevention

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Acute-Phase Glucose Fluctuation Is Negatively Correlated With Myocardial Salvage After Acute Myocardial Infarction

Cited by 39 publications

References 36 publications

Glycemic Variability Determined by Continuous Glucose Monitoring System Predicts Left Ventricular Remodeling in Patients With a First ST-Segment Elevation Myocardial Infarction

Glycemic Variability Determined by Continuous Glucose Monitoring System Predicts Left Ventricular Remodeling in Patients With a First ST-Segment Elevation Myocardial Infarction

Glycemic Variability on Continuous Glucose Monitoring System Predicts Rapid Progression of Non-Culprit Lesions in Patients With Acute Coronary Syndrome

Effect of Intraoperative Glucose Fluctuation and Postoperative IL-6, TNF-α, CRP Levels on the Short-term Prognosis of Patients with Intracranial Supratentorial Neoplasms

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