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ORIGINAL RESEARCH article

Front. Cardiovasc. Med.
Sec. Coronary Artery Disease
Volume 11 - 2024 | doi: 10.3389/fcvm.2024.1427567
This article is part of the Research Topic Prognostic Value of Inflammatory and Thrombotic Biomarkers in Acute Coronary Syndrome View all articles

Analyzing the Non-linear Relationship Between Fasting Blood Glucose Levels and Gensini Score in Patients with STEMI

Provisionally accepted
Han Li Han Li Guo-Qiang Zhong Guo-Qiang Zhong *Zhiyuan Jiang Zhiyuan Jiang *
  • First Affiliated Hospital, Guangxi Medical University, Nanning, China

The final, formatted version of the article will be published soon.

    Acute myocardial infarction (AMI), particularly ST-segment elevation myocardial infarction (STEMI), significantly impacts global health, exacerbated by risk factors such as diabetes mellitus (DM). While the Gensini score effectively quantifies coronary artery lesions, its correlation with fasting blood glucose (FBG) levels, particularly in a non-linear fashion, has not been thoroughly explored in STEMI patients. Methods: This study analyzed data from 464 STEMI patients treated with percutaneous coronary intervention at the First People's Hospital of Taizhou City, Zhejiang Province, China, from January 2010 to October 2014. We stratified patients into three FBG tertiles and utilized multiple statistical analyses, including least absolute shrinkage and selection operator (LASSO) regression and curve fitting, to examine the potential U-shaped relationship between FBG levels and Gensini scores. Results: Our analysis revealed significant differences in Gensini scores across FBG tertiles, with both hypoglycemic and hyperglycemic extremes showing higher scores compared to the normoglycemic range. The curve fitting analysis confirmed a U-shaped relationship, suggesting a significant, non-linear association between FBG levels and coronary artery lesion severity, regardless of diabetes status. Conclusions: Our findings underscore the complexity of glycemic control in STEMI management and suggest that both hypo-and hyperglycemia are significant risk factors for severe coronary lesions as quantified by the Gensini score. This study highlights the importance of comprehensive FBG monitoring and management to improve outcomes for STEMI patients.

    Keywords: acute myocardial infarction, Gensini score, Fasting blood glucose, STelevation myocardial infarction, Diabetes Mellitus

    Received: 04 May 2024; Accepted: 29 Nov 2024.

    Copyright: © 2024 Li, Zhong and Jiang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Guo-Qiang Zhong, First Affiliated Hospital, Guangxi Medical University, Nanning, China
    Zhiyuan Jiang, First Affiliated Hospital, Guangxi Medical University, Nanning, China

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