A Study on the Related Factors of Atrial Fibrillation in Patients with Type 2 Diabetes
10.12259/j.issn.2095-610X.S20241208
- VernacularTitle:2型糖尿病患者发生心房颤动相关影响因素的研究
- Author:
Wanshu LIU
1
;
Furong DENG
;
Ping YANG
;
Xin TIAN
;
Guangli ZHOU
;
Lingmin ZHAO
;
Xueting ZHANG
;
Keyi ZHANG
Author Information
1. 昆明医科大学第一附属医院心内科,昆明云南 650032
- Keywords:
Type 2 diabetes mellitus;
Atrial fibrillation;
Glycosylated hemoglobin A1e;
Sodium/Glucose Co-transporter 2 Inhibitor
- From:
Journal of Kunming Medical University
2024;45(12):58-64
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the factors associated with atrial fibrillation(AF)in patients with Type 2 Diabetes Mellitus(T2DM).Methods Through a case-control study,We selected 688 patients with T2DM who were hospitalized at the First Affiliated Hospital of Kunming Medical University from January 2015 to November 2021.Based on the AF diagnostic criteria,all the patients were divided into a case group(AF group)of 368 cases and a control group(non-AF group)of 320 cases.All patients'clinical data were collected and used Stata 15.1 st-atistical software were used for analyze the relevant influencing factors of AF in patients with T2DM.Results Age,duration of DM,glycated hemoglobin level,body mass index,left atrial diameter,creatinine,C2HEST score,and heart failure might be risk factors for AF in T2DM patients(P＜0.05);among them,age,glycated hemoglobin level,left atrial diameter,C2HEST score might be independent risk factors for AF in T2DM patients;the use of sodium-glucose co-transporter 2 inhibitors(Sodium/Glucose Co-transporter 2 Inhibitor,SGLT2i)and β-blockers(P＜0.05)might be its protective factors.Conclusion Old age,high HbA1c level,increased left atrial diameter,and high C2HEST score maight be independent risk factors for atrial fibrillation in T2DM patients.The use of SGLT2i and β-blockers in T2DM patients may have a protective effect on the occurrence of atrial fibrillation.
