摘要
Abstract
Objective To investigate the relationship between HbA1c, and heart function in patients with acute myocardial infarction ( AMI ) who undergoing primary percutaneous coronary intervention ( PCI ). Methods In 2009, 324 AMI patients undergoing primary PCI were enrolled in this study. According to the level of HhA,,., the patients were divided into high HhA,,. group ( HhA1c ≥6. 5% ) and control group ( HhA1c <6. 5% ), and the heart function were analyzed. Results Thrombol-ysis in myocardial infarction ( TIMI ) flow grade 0 was not significantly different between these two groups before PCI ( P > 0. 05 ). The number of injured blood vessels, reperfusion time of infarct - related artery ( IRA ), and no - flow phenomena were not significantly different ( P > 0. 05 ). The left ventricular ejection fraction ( LVEF ) and incidences of heart failure during hospital stay showed no significant differences ( P > 0. 05 ) but were significantly different three months after PCI ( P < 0. 05 ). As shown in multivariate analysis, after the other risk factors were adjusted, HbA1c ≥6. 5% was a predictor of heart failure three months after Pill [OR =2. 97%, 95% CI( 1.635, 5.018), P=0.021]. Conclusion The increased HhA1c level is a influencing factors of poor heart failure in AMI patients 3 month after PCI. HbA1c may be a useful indicator for the early intervetnion of AMI and blood sugar control.关键词
急性心肌梗死/血管成形术,经腔,经皮冠状动脉/血红蛋白A,糖基化/心功能Key words
Acute myocardial infarction/Angioplasty, transluminal, percutaneous coronary/Hemoglobin A, gly-cosylated/Heart function分类
医药卫生
