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目的探讨急性心肌梗死(AMI)时应激性高血糖与心律失常发生率的关系。方法对128例既往无糖尿病病史的AMI患者入院后第1天、第10天测空腹血糖、糖化血红蛋白并持续进行心电监护。结果血糖增高组的AMI患者心律失常的发生率明显高于血糖正常组(P<0.01)。结论应激血糖升高的AMI患者心律失常的发生率明显增高,预后差,值得警惕。
Objective To investigate the relationship between stress hyperglycemia and the incidence of arrhythmia in acute myocardial infarction (AMI). Methods 128 patients with AMI who had no past history of diabetes mellitus were enrolled in the study. Fasting blood glucose and HbA1c were measured on the first day and the tenth day after admission. Results The incidence of arrhythmia in patients with AMI was significantly higher than that in patients with normal glucose (P <0.01). Conclusions The incidence of arrhythmia in AMI patients with elevated blood pressure is significantly higher than that in patients with poor prognosis, which warrants vigilance.