Killip classification and glucose level in patients with acute myocardial infarction

Objective

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.

Methods

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 χ² and 1-way analysis of variance tests.

Results

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).

Conclusion

Patients ranked in the higher Killip classes had higher glucose levels than those ranked in the lower classes.