Resting electrocardiogram ST-T abnormality and stress hyperglycemia ratio are positively correlated with short-term prognosis of acute left heart failure
10.3969/j.issn.1005-202X.2025.04.012
- VernacularTitle:静息心电图ST-T异常及应激性血糖升高比值与急性左心衰短期预后的相关性
- Author:
Gongxu WANG
1
;
Liang CHEN
;
Linhui LI
;
Bao CHEN
Author Information
1. 湘南学院附属医院急诊科,湖南 郴州 423000
- Publication Type:Journal Article
- Keywords:
resting electrocardiogram;
stress hyperglycemia ratio;
acute left heart failure;
prognosis;
correlation
- From:
Chinese Journal of Medical Physics
2025;42(4):505-509
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the correlations of resting electrocardiogram ST-T abnormality and stress hyperglycemia ratio(SHR)with short-term prognosis of acute left heart failure(ALHF).Methods The clinical data of 125 patients with ALHF were analyzed.According to the prognosis within 30 days after onset,the patients were divided into good prognosis group(n=59),poor prognosis group(n=42)and death group(n=24).The resting electrocardiogram indications,admission blood glucose and glycosylated hemoglobin at fasting on the next day were collected,and SHR was calculated for exploring the correlations of resting electrocardiogram ST-T abnormality and SHR with short-term prognosis of ALHF.Results and conclusion The differences in gender,blood pressure and other general data among 3 groups were trivial(P>0.05),but death group was at an older age as compared with good prognosis group(P<0.05).The resting electrocardiogram ST-T abnormality rate,QRS wave duration and QTc interval were lower/shorter in good prognosis group than in the other two group(P<0.05),and the above indicators were lower/shorter in poor prognosis group than in death group(P<0.05).Good prognosis group had the lowest SHR,followed by poor prognosis group and death group(P<0.05).Multivariate Logistic regression analysis revealed that ST-T abnormality,prolonged QRS wave duration,prolonged QTc interval and high SHR were independent risk factors for poor prognosis in ALHF patients(P<0.05).Resting electrocardiogram ST-T abnormality and SHR were significantly and positively correlated with ALHF short-term prognosis.
