Effect of Acarbose on Long-Term Prognosis in Acute Coronary Syndromes Patients with Newly Diagnosed Impaired Glucose Tolerance

Objective. To investigate the effect of acarbose therapy on the long-term prognosis of patients with acute coronary syndromes (ACS) complicating newly diagnosed impaired glucose tolerance (IGT). Methodology. 135 patients hospitalized for ACS who had been newly diagnosed with IGT were randomly assign...

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Main Authors: Peng Yun, Ai-ming Du, Xue-jun Chen, Jing-cheng Liu, Hu Xiao
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2016/1602083
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author Peng Yun
Ai-ming Du
Xue-jun Chen
Jing-cheng Liu
Hu Xiao
author_facet Peng Yun
Ai-ming Du
Xue-jun Chen
Jing-cheng Liu
Hu Xiao
author_sort Peng Yun
collection DOAJ
description Objective. To investigate the effect of acarbose therapy on the long-term prognosis of patients with acute coronary syndromes (ACS) complicating newly diagnosed impaired glucose tolerance (IGT). Methodology. 135 patients hospitalized for ACS who had been newly diagnosed with IGT were randomly assigned to acarbose group (150 mg/day, n=67) or control group (no acarbose, n=68). All cases in each group were given the same elementary treatment. Mean follow-up was 2.3 years. The incidence of major adverse cardiovascular event (MACE) and carotid intima-middle thickness (CIMT) were statistically analyzed. Results. During the mean follow-up of 2.3 years, the risk of recurrent MACE in acarbose group was decreased significantly compared with that in control group (26.67% versus 46.88%, P<0.05); at the same time, thickening of the CIMT was significantly slower than the control group ((1.28 ± 0.42) mm versus (1.51 ± 0.64) mm, P<0.05). Conclusions. Acarbose can effectively reduce the risk of MACE in ACS patients with newly diagnosed IGT, simultaneously retarding the progression of carotid intima-media thickness.
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spelling doaj-art-1de6188a55be42eca455730b7d0e77942025-02-03T00:59:19ZengWileyJournal of Diabetes Research2314-67452314-67532016-01-01201610.1155/2016/16020831602083Effect of Acarbose on Long-Term Prognosis in Acute Coronary Syndromes Patients with Newly Diagnosed Impaired Glucose TolerancePeng Yun0Ai-ming Du1Xue-jun Chen2Jing-cheng Liu3Hu Xiao4Department of Internal Medicine, School of Clinical Medicine, Yangtze University, Jingzhou, Hubei 434000, ChinaDepartment of Cardiology, Central Hospital of Jingzhou City, Hubei 434001, ChinaDepartment of Cardiology, Central Hospital of Jingzhou City, Hubei 434001, ChinaDepartment of Endocrinology, The First Affiliated Hospital of Yangtze University, Jingzhou, Hubei 434000, ChinaDepartment of Endocrinology, The First Affiliated Hospital of Yangtze University, Jingzhou, Hubei 434000, ChinaObjective. To investigate the effect of acarbose therapy on the long-term prognosis of patients with acute coronary syndromes (ACS) complicating newly diagnosed impaired glucose tolerance (IGT). Methodology. 135 patients hospitalized for ACS who had been newly diagnosed with IGT were randomly assigned to acarbose group (150 mg/day, n=67) or control group (no acarbose, n=68). All cases in each group were given the same elementary treatment. Mean follow-up was 2.3 years. The incidence of major adverse cardiovascular event (MACE) and carotid intima-middle thickness (CIMT) were statistically analyzed. Results. During the mean follow-up of 2.3 years, the risk of recurrent MACE in acarbose group was decreased significantly compared with that in control group (26.67% versus 46.88%, P<0.05); at the same time, thickening of the CIMT was significantly slower than the control group ((1.28 ± 0.42) mm versus (1.51 ± 0.64) mm, P<0.05). Conclusions. Acarbose can effectively reduce the risk of MACE in ACS patients with newly diagnosed IGT, simultaneously retarding the progression of carotid intima-media thickness.http://dx.doi.org/10.1155/2016/1602083
spellingShingle Peng Yun
Ai-ming Du
Xue-jun Chen
Jing-cheng Liu
Hu Xiao
Effect of Acarbose on Long-Term Prognosis in Acute Coronary Syndromes Patients with Newly Diagnosed Impaired Glucose Tolerance
Journal of Diabetes Research
title Effect of Acarbose on Long-Term Prognosis in Acute Coronary Syndromes Patients with Newly Diagnosed Impaired Glucose Tolerance
title_full Effect of Acarbose on Long-Term Prognosis in Acute Coronary Syndromes Patients with Newly Diagnosed Impaired Glucose Tolerance
title_fullStr Effect of Acarbose on Long-Term Prognosis in Acute Coronary Syndromes Patients with Newly Diagnosed Impaired Glucose Tolerance
title_full_unstemmed Effect of Acarbose on Long-Term Prognosis in Acute Coronary Syndromes Patients with Newly Diagnosed Impaired Glucose Tolerance
title_short Effect of Acarbose on Long-Term Prognosis in Acute Coronary Syndromes Patients with Newly Diagnosed Impaired Glucose Tolerance
title_sort effect of acarbose on long term prognosis in acute coronary syndromes patients with newly diagnosed impaired glucose tolerance
url http://dx.doi.org/10.1155/2016/1602083
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