Effect of stress-induced hyperglycemia on new-onset atrial fibrillation in patients with acute myocardial infarction
10.3969/j.issn.1006-2483.2025.06.026
- VernacularTitle:应激性高血糖对急性心肌梗死患者新发心房颤动的影响
- Author:
Hongkai DONG
1
;
Xuan XUE
1
;
Bingbing PENG
1
;
Meiling LIU
1
;
Liuyi HAO
1
Author Information
1. Department of Cardiovascular Medicine, Shanxi Medical University, Yuncheng Central Hospital, Yuncheng, Shanxi 044000, China
- Publication Type:Journal Article
- Keywords:
Acute myocardial infarction;
Stress hyperglycemia;
New-onset atrial fibrillation
- From:
Journal of Public Health and Preventive Medicine
2025;36(6):114-118
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of stress hyperglycemia (SHG) on new-onset atrial fibrillation (NOAF) in patients with acute myocardial infarction (AMI). Methods A total of 1 321 patients with non-diabetic AMI who were admitted to the hospital from February 2024 to February 2025 were retrospectively selected. The occurrence of SHG was assessed according to the blood glucose level at admission. All patients received standard treatment after admission. The occurrence of NOAF during hospitalization was recorded. According to the presence or absence of NOAF occurrence, the patients were classified into NOAF group (n=118) and no-NOAF group (n=1,203). The clinical data of the two groups were collected and compared. Multivariate logistic regression analysis was applied to analyze the factors influencing the occurrence of NOAF in AMI patients. Results Among the 1 321 patients, 369 cases (27.93%) had SHG according to their blood glucose test at admission. After the completion of hospitalization, 118 of the 1321 patients developed NOAF, with an incidence rate of 8.93%. Multivariate logistic regression analysis revealed that SHG (OR=2.776, 95%CI: 1.384-5.567), smoking history (OR=2.680, 95%CI: 1.457-4.931), Killip grading at admission (OR=2.779, 95%CI: 1.361-5.671), Gensini score (OR=1.119, 95%CI: 1.038-1.205), time from onset to revascularization (OR=1.114, 95%CI: 0.973-1.275), and NT-proBNP (OR=1.123, 95%CI: 1.049-1.203) were independent influencing factors of NOAF in patients with AMI (P<0.05). Conclusion SHG, smoking history, Killip grading at admission, Gensini score, NT-proBNP, and time from onset to revascularization may influence the occurrence of NOAF in AMI patients during hospitalization, which should be given high attention.
