Predictors of residual coronary artery disease after PPCI in diabetic patients with STEMI

Abstract

To describe the patients’ characteristics and risk factors of diabetic and non-diabetic patients presenting with ST-elevation myocardial infarction (STEMI) in relation to residual SYNTAX score after PPCI (primary PCI). Material and Method: Prospective observational study using data from all comers in NHI with STEMI and underwent PPCI over one month. Results: The present study consisted of 290 patients with ST-elevation myocardial infarction over one month period. About 50% of the patients with diabetes were more often female, with a greater prevalence of hypertension and dyslipidemia. In the diabetic group, the eGFR <60 ml/kg/min was associated with more residual CAD after PPCI and a higher residual SYNTAX score. Conclusion: eGFR is correlated with the presence of MVD in diabetic patients and with a higher residual syntax, which reflects the severity of disease in diabetic patients with nephropathy. That observation was not existing in a diabetic with normal eGFR or in non-diabetics with normal or reduced eGFR.