The predictive value of heart rate turbulence in patients with diabetes mellitus after acute myocardial infarction
10.3760/cma.j.issn.1673-4904.2012.22.002
- VernacularTitle:心率震荡对糖尿病患者急性心肌梗死后的预测价值
- Author:
Linhai ZHOU
;
Birong LIANG
;
Huaiqin ZHANG
;
Weijian HUANG
;
Jie LIN
;
Guang JI
;
Jianqiong HU
;
Gaojun WU
;
Xiaowu YU
- Publication Type:Journal Article
- Keywords:
Electrocardiography;
Diabetes mellitus;
Myocardial infarction
- From:
Chinese Journal of Postgraduates of Medicine
2012;35(22):4-7
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the predictive value of heart rate turbulence(HRT) in patients with diabetes mellitus (DM) after acute myocardial infarction (AMI).MethodsNinety-two AMI patients combined with DM (DM group) and 120 AMI patients without DM (non-DM group) were selected.Turbulence onset (TO) and turbulence slope (TS) were two indexes of HRT.HRT was considered positive when TO was ≥0 and TS was ≤2.5 ms/R-R.The differences in clinical data between HRT-positive and HRT-negative patients were compared.And the related risk factors after AMI were analyzed.ResultsAge,left ventricular ejection fraction (LVEF) level,renal insufficiency,LVEF＜40％,standard deviation of sinus cardiac cycle (R-R interval)(SDNN),heart rate variability (HRV) positiveand HRT indexes (TO,TS) between HRT-positive and HRT-negative patients in DM group had significant differences (P ＜ 0.05 ).Age,LVEF level,SDNN and HRT indexes(TO,TS) between HRT-positive and HRT-negative patients in non-DM group had significant differences(P ＜ 0.05).Multivariate Cox regression analysis showed that renal insufficiency (OR=4.8,95％ CI:1.8 - 10.7,P=0.008) and HRT positive (OR=3.7,95％ CI:1.5 - 8.6,P=0.070) in DM group had statistical significance.And HRT positive in non-DM group had statisticalsignificance(OR=23.0,95％ CI:5.2 ～ 86.0,P ＜ 0.01 ).ConclusionsHRT,an index of dynamic electrocardiogram,can predict the risk in patients with DM or without DM after AMI.
