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Title: | Impact of Diabetes on 10‐Year Outcomes Following ST‐Segment–Elevation Myocardial Infarction: Insights From the EXAMINATION‐EXTEND Trial |
Author: | Spione, Francesco Arevalos, Victor Gabani, Rami Ortega Paz, Luis Gomez Lara, Josep Jimenez Diaz, Victor Jimenez, Marcelo Jiménez Quevedo, Pilar Diletti, Roberto Pineda, Javier Campo, Gianluca Di Silvestro, Antonio Maristany, Jaume Flores, Xacobe Oyarzabal, Loreto Bastos Fernandez, Guillermo Iñiguez, Andrés Serra, Antonio Escaned, Javier Ielasi, Alfonso Tespili, Maurizio Lenzen, Mattie Gonzalo, Nieves Bordes, Pascual Tebaldi, Matteo Biscaglia, Simone Al‐Shaibani, Soheil Romaguera, Rafael Gomez Hospital, Joan Antoni Rodes Cabau, Josep Serruys, P. W. Sabaté, Manel Brugaletta, Salvatore |
Keywords: | Diabetis Infart de miocardi Assaigs clínics Diabetes Myocardial infarction Clinical trials |
Issue Date: | 6-Dec-2022 |
Publisher: | Ovid Technologies (Wolters Kluwer Health) |
Abstract: | BACKGROUND: Long-term outcomes of ST-segment-elevation myocardial infarction in patients with diabetes have been barely investigated. The objective of this analysis from the EXAMINATION-EXTEND (10-Years Follow-Up of the EXAMINATION trial) trial was to compare 10-year outcomes of patients with ST-segment-elevation myocardial infarction with and without diabetes. METHODS AND RESULTS: Of the study population, 258 patients had diabetes and 1240 did not. The primary end point was patient-oriented composite end point of all-cause death, any myocardial infarction, or any revascularization. Secondary end points were the individual components of the primary combined end point, cardiac death, target vessel myocardial infarction, target lesion revascularization, and stent thrombosis. All end points were adjusted for potential confounders. At 10 years, patients with diabetes showed a higher incidence of patient-oriented composite end point compared with those without (46.5% versus 33.0%; adjusted hazard ratio [HR], 1.31 [95% CI, 1.05-1.61]; P=0.016) mainly driven by a higher incidence of any revascularization (24.4% versus 16.6%; adjusted HR, 1.61 [95% CI, 1.19-2.17]; P=0.002). Specifically, patients with diabetes had a higher incidence of any revascularization during the first 5 years of follow-up (20.2% versus 12.8%; adjusted HR, 1.57 [95% CI, 1.13-2.19]; P=0.007) compared with those without diabetes. No statistically significant differences were found with respect to the other end points. CONCLUSIONS: Patients with ST-segment-elevation myocardial infarction who had diabetes had worse clinical outcome at 10 years compared with those without diabetes, mainly driven by a higher incidence of any revascularizations in the first 5 years. |
Note: | Reproducció del document publicat a: https://doi.org/10.1161/JAHA.122.025885 |
It is part of: | Journal of the American Heart Association, 2022, vol. 11, num. 23, p. e025885 |
URI: | http://hdl.handle.net/2445/192293 |
Related resource: | https://doi.org/10.1161/JAHA.122.025885 |
ISSN: | 2047-9980 |
Appears in Collections: | Articles publicats en revistes (Ciències Clíniques) Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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