Abstract

  1. Home
  2. E-Science Station
  3. Abstract
JACC

Lots of interesting abstracts and cases were submitted for TCTAP 2022. Below are the accepted ones after a thorough review by our official reviewers. Don’t miss the opportunity to expand your knowledge and interact with authors as well as virtual participants by sharing your opinion in the comment section!

TCTAP A-046

Prognostic Impact of Plasma Glucose on Cardiogenic Shock Patients With or Without Diabetes Mellitus: Smart Rescue Trial

By Seong Huan Choi, Gwang-Seok Yoon, Sang-Don Park, Young-Guk Ko, Chul-Min Ahn, Cheol Woong Yu, Hyun-Joong Kim, Bum Sung Kim, Jang-Whan Bae, Sang Yeub Lee, Sung Uk Kwon, Je Sang Kim, Jin-Ok Jeong, Seong-Hoon Lim, Sungsoo Cho, Jeong Hoon Yang, Hyeon-Cheol Gwon

Presenter

Seong Huan Choi

Authors

Seong Huan Choi1, Gwang-Seok Yoon2, Sang-Don Park2, Young-Guk Ko3, Chul-Min Ahn3, Cheol Woong Yu4, Hyun-Joong Kim5, Bum Sung Kim6, Jang-Whan Bae7, Sang Yeub Lee8, Sung Uk Kwon9, Je Sang Kim10, Jin-Ok Jeong11, Seong-Hoon Lim12, Sungsoo Cho13, Jeong Hoon Yang14, Hyeon-Cheol Gwon14

Affiliation

Inha University College of Medicine, Korea (Republic of)1, Inha University Hospital, Korea (Republic of)2, Severance Hospital, Korea (Republic of)3, Korea University Anam Hospital, Korea (Republic of)4, KONKUK UNIVERSITY HOSPITAL, Korea (Republic of)5, Konkuk University Medical Center, Korea (Republic of)6, Good Samsun Hospital, Korea (Republic of)7, Chung-Ang University Gwangmyeong Hospital, Korea (Republic of)8, Inje University Ilsan Paik Hospital, Korea (Republic of)9, Bucheon Sejong General Hospital, Korea (Republic of)10, Chungnam National University Hospital, Korea (Republic of)11, Dankook University Hospital, Korea (Republic of)12, Gangnam Severance Hospital, Korea (Republic of)13, Samsung Medical Center, Korea (Republic of)14
View Study Report
TCTAP A-046
Hemodynamic Support and Cardiogenic Shock

Prognostic Impact of Plasma Glucose on Cardiogenic Shock Patients With or Without Diabetes Mellitus: Smart Rescue Trial

Seong Huan Choi1, Gwang-Seok Yoon2, Sang-Don Park2, Young-Guk Ko3, Chul-Min Ahn3, Cheol Woong Yu4, Hyun-Joong Kim5, Bum Sung Kim6, Jang-Whan Bae7, Sang Yeub Lee8, Sung Uk Kwon9, Je Sang Kim10, Jin-Ok Jeong11, Seong-Hoon Lim12, Sungsoo Cho13, Jeong Hoon Yang14, Hyeon-Cheol Gwon14

Inha University College of Medicine, Korea (Republic of)1, Inha University Hospital, Korea (Republic of)2, Severance Hospital, Korea (Republic of)3, Korea University Anam Hospital, Korea (Republic of)4, KONKUK UNIVERSITY HOSPITAL, Korea (Republic of)5, Konkuk University Medical Center, Korea (Republic of)6, Good Samsun Hospital, Korea (Republic of)7, Chung-Ang University Gwangmyeong Hospital, Korea (Republic of)8, Inje University Ilsan Paik Hospital, Korea (Republic of)9, Bucheon Sejong General Hospital, Korea (Republic of)10, Chungnam National University Hospital, Korea (Republic of)11, Dankook University Hospital, Korea (Republic of)12, Gangnam Severance Hospital, Korea (Republic of)13, Samsung Medical Center, Korea (Republic of)14

Background

Even though the presence of hyperglycemia has shown to affect the clinical outcome of cardiogenic shock patients, the extent of hyperglycemia and its association with prognosis have not been fully addressed in large population.   

Methods

A total of 1,177consecutive cardiogenic shock patients were enrolled from January 2014 to December of 2018 at 12 hospitals in South Korea. The primary outcome was in-hospital mortality.

Results

Patients were divided into four groups according to their initial plasma glucose level in each of diabetes patients (n=752) and non-diabetes patients (n=425); group1(≥8 mmol/L), group 2(8-12 mmol/L), group 3(12-16mmol/L) and group4(≥16mmol/L). The groups with higher admission plasma were associated with lower systolic blood pressure, higher lactic acid level in both diabetic and non-diabetic patients. In-hospital mortality increased in groups with higher admission plasma glucose level in non-diabetic patients (group-1:24.2%, group-2:28.6%, group-3: 38.1%, group-4: 49.0%, p<0.01) whereas in diabetic patients, mortality and admission plasma glucose level showed no significant association (group-1:45%, group-2: 35.4%, group-3: 33.3%, group-4: 43.1%, p=0.26). Even after Multivariate analysis, high plasma glucose was an independent predictor of in-hospital mortality in non-diabetic patients.

Conclusion

In cardiogenic shock patients, higher plasma glucose obtained at admission was associated with commensurate in-hospital mortality in non-diabetic patients.

E-Science Station