Effect of stress hyperglycemia on prognosis of nondiabetic patients with acute myocardial infarction
10.3760/cma.j.issn.1008-6706.2009.07.042
- VernacularTitle:应激性高血糖与急性心肌梗死预后的关系
- Author:
Chunde ZHANG
;
Aiping ZHANG
;
Yuzhu DUAN
;
Zhaobo ZENG
- Publication Type:Journal Article
- Keywords:
Myocardial infarction;
Stress hyperglycemia
- From:Chinese Journal of Primary Medicine and Pharmacy
2009;16(7):1217-1218
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the effect of stress hyperglycemia on prognosis of nondiabetic patients with acute myocardial infarction. Methods 80 nondiabetic patients with acute myocardial infarction(AMI) were divided into 2 groups according to the early blood glucose level. Group A:blood glucose ≥ 8mmol/L;group B: < 8mmol/L. Serious cardiac arrhythmia, backward heart failure, cardiac shock and death incidence and so on were observed. Re-sults The incidences of serious cardiac arrhythmia,backward heart failure,cardiac shock and death were significantly higher in patients with stress hyperglycemia than those of patients without stress hyperglycemia(35% vs 13%, 38% vs 17%, 19% vs 2%, 31% vs 11%, P <0.05). Conclusion The incidences of serious cardiac arrhythmia,backward heart failure,cardiac shock and death in patients with stress hyperglycemia were significantly higher than those of pa-tients without stress hyperglycemia,which could be used as the parameters to judge the prognosis of patient.
