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老年急性心肌梗死伴高血糖256例的临床研究

高航 贺欣 陶贵周 蔡宏宇 杨美婷

中国现代医生2009,Vol.47Issue(17):1-2,24,3.
中国现代医生2009,Vol.47Issue(17):1-2,24,3.

老年急性心肌梗死伴高血糖256例的临床研究

Serum Glucose Concentrations Predicting in the Old Patients with Acute Myocardial Infarction

高航 1贺欣 1陶贵周 1蔡宏宇 1杨美婷1

作者信息

  • 1. 辽宁医学院附属一院心内科,辽宁,锦州,121001
  • 折叠

摘要

Abstract

Objective To assess the predictive value of FBG concentration in-hospital outcome in the old patients with AMI.Methods 256 old patients (≥60 years old) with AMI precluding that with history of diabetes were divided into two groups according to serum FBG level:group A,n = 136,FBG ≥7.0mmol/L;group B,n = 120,FBG < 7.0mmol/L FBG concentrations after 7 days,mortality and total cardiac affairs in-hospital were recorded. Results:Among the two group,there were no significance in age,history of hypertension,hyperlipdemia. Compared with group B,the patients with high FBG levels in 7th day were more than group A, about 21% of group A(P< 0.05). Numbers of disease vessels were more than group A(P < 0.05). Cardiac shock,in-hospital mortality and total cordial affairs were significanfly higher in group A(12%vs0% in cardiac shock, 12%vs4% in mortality ,61%vs34% in MACE)(P< 0.05). Conclusion A part of the old patient with high FBG concentrations and AMI have impaired glucose metabolism, admission glucose levels are predictive for in hospital mortality and total cardial affairs.

关键词

急性心肌梗死/血糖/老年/冠状动脉造影

Key words

Acute myocardial infarction/Blood glucose/Old people/Coronary angiography

分类

医药卫生

引用本文复制引用

高航,贺欣,陶贵周,蔡宏宇,杨美婷..老年急性心肌梗死伴高血糖256例的临床研究[J].中国现代医生,2009,47(17):1-2,24,3.

中国现代医生

1673-9701

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