دورية أكاديمية
Impact of post-procedural glycemic variability on cardiovascular morbidity and mortality after transcatheter aortic valve implantation : a post hoc cohort analysis
| العنوان: | Impact of post-procedural glycemic variability on cardiovascular morbidity and mortality after transcatheter aortic valve implantation : a post hoc cohort analysis |
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| المؤلفون: | Besch, Guillaume, Pili-Floury, Sebastien, Morel, Caroline, Gilard, Martine, Flicoteaux, Guillaume, Du Mont, Lucie Salomon, Perrotti, Andrea, Meneveau, Nicolas, Chocron, Sidney, Schiele, François, Le Breton, Hervé, Samain, Emmanuel, Chopard, Romain |
| المساهمون: | Marqueurs pronostiques et facteurs de régulations des pathologies cardiaques et vasculaires - UFC ( UR 3920) (PCVP / CARDIO), Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon)-Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté COMUE (UBFC)-Université Bourgogne Franche-Comté COMUE (UBFC), Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Hôpital de la Cavale Blanche - CHRU Brest (CHU - BREST ), Centre Hospitalier Universitaire de Rennes CHU Rennes = Rennes University Hospital Ponchaillou, Laboratoire Traitement du Signal et de l'Image (LTSI), Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM), Department of Anesthesiology and Intensive Care Medicine, Department of Cardiology, University Hospital of Besancon, Besancon, France |
| المصدر: | ISSN: 1475-2840 ; Cardiovascular Diabetology ; https://univ-rennes.hal.science/hal-02082297Test ; Cardiovascular Diabetology, 2019, 18 (1), pp.27. ⟨10.1186/s12933-019-0831-3⟩. |
| بيانات النشر: | HAL CCSD BioMed Central |
| سنة النشر: | 2019 |
| المجموعة: | Université de Rennes 1: Publications scientifiques (HAL) |
| مصطلحات موضوعية: | Glucose variability, Adverse events, Transcatheter aortic valve implantation, Blood glucose, Aortic disease, [SDV.IB]Life Sciences [q-bio]/Bioengineering |
| الوصف: | International audience ; Background : Glycemic variability is associated with worse outcomes after cardiac surgery, but the prognosis value of early glycemic variability after transcatheter aortic valve implantation is not known. This study was therefore designed to analyze the prognosis significance of post-procedural glycemic variability within 30 days after transcatheter aortic valve implantation.Methods : A post hoc analysis of patients from our center included in the FRANCE and FRANCE-2 registries was conducted. Post-procedural glycemic variability was assessed by calculating the mean daily δ blood glucose during the first 2 days after transcatheter aortic valve implantation. Major complications within 30 days were death, stroke, myocardial infarction, acute heart failure, and life-threatening cardiac arrhythmias.Results : We analyzed 160 patients (age (median [interquartile] = 84 [80–88] years; diabetes mellitus (n) = 41 (26%) patients; logistic Euroscore = 20 [12–32]). The median value of mean daily δ blood glucose was 4.3 mmol l−1. The rate of major complications within 30 days after procedure among patients with the lowest quartile of glycemic variability was 12%, increasing from 12 to 26%, and 39% in the second, third, and fourth quartiles, respectively. In multivariate analysis, glycemic variability was independently associated with an increased risk of major complications within 30 days after the procedure (odds ratio [95% CI] = 1.83 [1.19–2.83]; p = 0.006).Conclusions : This study showed that post-procedural glycemic variability was associated with an increased risk of major complications within 30 days after transcatheter aortic valve implantation. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/30857532; hal-02082297; https://univ-rennes.hal.science/hal-02082297Test; https://univ-rennes.hal.science/hal-02082297/documentTest; https://univ-rennes.hal.science/hal-02082297/file/s12933-019-0831-3Test; PUBMED: 30857532 |
| DOI: | 10.1186/s12933-019-0831-3 |
| الإتاحة: | https://doi.org/10.1186/s12933-019-0831-3Test https://univ-rennes.hal.science/hal-02082297Test https://univ-rennes.hal.science/hal-02082297/documentTest https://univ-rennes.hal.science/hal-02082297/file/s12933-019-0831-3Test |
| حقوق: | info:eu-repo/semantics/OpenAccess |
| رقم الانضمام: | edsbas.15FE7A96 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1186/s12933-019-0831-3 |
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