武警医学2012，Vol.23Issue(4)：312-314,3.
老年2型糖尿病并发急性心肌梗死的临床特点
Type 2 diabetes mellitus and concnrrent acute myocardial infarction in 43 elderly patients
曹颖 1闫亚非2
作者信息
- 1. 610016,成都市第一人民医院内分泌科
- 2. 610016,成都市第一人民医院心血管内科
- 折叠
摘要
Abstract
Objective To study the clinical characleristics of senile Lype 2 diabeles mellilus(T2 -DM) with concurrent acute myocardial infarction (AMI). Methods Ninety - four palienls, over 60 years old and hospitalized from February 2008 Lo March 2011, were slividced into Lwo groups: ( 1) Group A consisted of 51 palienls wilh lype 2 diabeles mellilus and concurrenl acule myocardial infarclion who received coronary arleriography ( CAG) . (2) Group B consisted of 51 palienls wilhoul T2 - DM who received CAG. The clinical manifeslalions and ihe coronary artery characlerislics in bolh groups were analyzed and compared. Results Blood sugar in group A was (12.9 ±5.2) mmot/L and was (5.11 ± 0. 65 ) mmol/L ( P < 0. 05 ) in group B. The average lime from the onset lo hospi-talizalion was (46 ±32) hour for group A, and (12 ±7) hours for group B (P <0. 01). In group A, 22(51% ) had alypical chestpain and 12(28% ) had non - chesl pain while in group B, ihere were 9( 18% ) and 3 cases (6% ), respectively ( P < 0. 01) . Group A had coronary artery degree IH narrowing in 20(46. 5% ) and degree IV narrowing in 11 (25. 6% ) while in group B ihere were 11 (21.6%) and 4 cases (7.8%) respectively ( P < 0. 01) . Eight palienls in group A died (18.6%) after 4 weeks of hospilalizalion and 3 palienls (5.9%) in group B(P<0.05). Conclusions In elder palienls wilh T2 -DM and concurrenl AMI, the alypical symploms or lack of symploms can cause delayed hospilalizalion. Their blood sugar level and falalily rale are high, complications are numerous, cardiac function is bad, and pathological changes in coronary arteries are severe.关键词
老年2型糖尿病/急性心肌梗死/冠脉造影Key words
lype 2 diabeles mellilus (T2 -DM)/acule myocardial infarclion/coronary arterioradiography分类
医药卫生引用本文复制引用
曹颖,闫亚非..老年2型糖尿病并发急性心肌梗死的临床特点[J].武警医学,2012,23(4):312-314,3.
