Relationship between blood gluocose level on admission and prognosis in female patients with acute myocardial infarction
10.3760/cma.j.issn.1008-6315.2009.09.018
- VernacularTitle:女性急性心肌梗死患者入院时血糖水平与预后关系的研究
- Author:
Jin ZHANG
;
Tingsong LIU
;
Ruihua CHEN
;
Shisen JIANG
;
Jianbin GONG
;
Qigao ZHAGN
;
Lijun WANG
;
Yongping PENG
;
Xunmin CHENG
- Publication Type:Journal Article
- Keywords:
Hyperglycemia;
Female;
Acute myocardial infarction;
Non-diabedc;
Prognosis
- From:
Clinical Medicine of China
2009;25(9):947-949
- CountryChina
- Language:Chinese
-
Abstract:
Objective To approach the effect of hyperglycemia on admission on the prognosis in female pa-tients with acute myocardial infarction (AMI) during hospital stay. Methods 171 female AMI patients without a history of diabetes mellitus from January 1998 to December 2007 were divided into 3 groups according to the blood glucose level on admission. Group Ⅰ included 69 cases with blood glucose <6. 1 mmol/L,group Ⅱ included 49 cases with blood glucose between 6.1 and 7.8 mmol/L,and group Ⅲ included 53 cases with blood glucose >7.8 mmoL/ L. The basic clinical profile, infarct sites, the incidence rates of the main complications and the mortality of the pa-rhythmia among group Ⅲ ,group Ⅰ and group Ⅱ were significantly different ( the incidence rate of cardiac failure was 30.43% (21/69) ,32.65% (16/49) and 58.49% (31/53), the incidence rate of cardiogenic shock was 5.80% (4/69) ,8.16% (4/49) and 24.53% (13/53) ; the incidence rate of severe arrhythmia was 24.64% (17/69) ,30. 61% (15/49) and 54.72% ( 29/53), respeetivley in group Ⅰ, group Ⅱ and group Ⅲ, P < 0.05 for each). The in-hospital mortality in group Ⅲ (28.30% (15/53) ) was remarkably higher than group Ⅰ ( 13.04% (6/69)) ,with significant difference ( P < 0.05 ). Conclusions Elevated blood glucose level on admission is associated with s markedly increased risk of cardiac failure,severe arrhythmia,cardiogenic shock and mortality during hospital stay in female patients suffering from AMI.
