Impact of glycemic variability on the occurrence of periprocedural myocardial infarction and major adverse cardiovascular events (MACE) after coronary intervention in patients with stable angina pectoris at 6 months follow-up.

Background We explored the impact of glycemic variability on the occurrence of periprocedural myocardial infarction and major adverse cardiovascular events (MACE) after coronary intervention in patients with stable angina pectoris (SAP) at 6 months follow-up. Methods From May 2015 to April 2016, a total of 746 patients with SAP were divided to high glycemic variability group (H group) ( n = 261) and low glycemic variability group (L group) ( n = 485). The primary end point was incidence of periprocedural myocardial infarction and MACE at 6 months follow-up. Results The occurrence of periprocedural myocardial infarction occurred in 18.8% of patients in H group and in 12.4% in L group (P = 0.03). The incidence of MACE at 6 months follow-up was 9.6% in H group and 4.5% in L group (P = 0.01). Multivariable analysis suggested that high glycemic variability conferred a 53% risk increment of 6 months follow-up MACE (odds ratio 2.13, 95% confidence interval 1.85–5.38; P = 0.01). Conclusions The trial shows that higher blood glucose variability was correlated with higher incidence of periprocedural myocardial infarction and MACE at 6 months follow-up. [ABSTRACT FROM AUTHOR]