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应激性高血糖对急性心肌梗死再灌注治疗前冠脉血流受损的预测 被引量：5

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摘要 目的:研究急性心肌梗死患者应激性血糖升高与冠状动脉血流受损的关系。方法:对我院2000-2005年122例因患急性心肌梗死入院并施行急诊经皮冠状动脉介入(PCI)术的病人进行分析,以入院血糖≥7.8mmol/L(140mg/dL)作为应激性高血糖的诊断标准。比较有或无应激性高血糖两组病人的冠脉血流TIMI分级情况。结果:应激性高血糖组PCI术前梗死血管血流TIMI3级的患者与正常血糖组相比差异有显著性(5.0%vs16.1%,P<0.05),应激性血糖升高与急性心肌梗死冠脉血流受损明显相关。结论:高血糖是急性心肌梗死患者再灌注治疗前冠脉血流受损较好的预测指标。
作者 李韶南 冯开薇 李广镰
机构地区 广州市第一人民医院心内科
出处 《实用医学杂志》 CAS 2006年第15期1753-1754,共2页 The Journal of Practical Medicine
关键词 心肌梗塞 TIMI血流 应激性高血糖 PCI
分类号 R542.22 [医药卫生—心血管疾病] R544.1 [医药卫生—心血管疾病]
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参考文献7

  • 1STONE G W,COX D,GARCIA E,et al.Normal flow(TIMI-3)before mechanical reperfusion therapy is an independent determinant of survival in acute myocardial infarction:analysis from the primary angioplasty in myocardial infarction trials[J].Circulation,2001,104(6):636-641.
  • 2WAHAB N N,COWDEN E A,PEARCE N J,et al.Is blood glucose an independent predictor of mortality in acute myocardial infarction in the thrombolytic era[J].J Am Coll Cardiol,2002,40(10):1748 -1754.
  • 3娄国忠,夏志荣.急性心肌梗死与应激性高血糖关系的探讨[J].心脑血管病防治,2004,4(3):32-34. 被引量：10
  • 4GRESELE P,GUGLIELMINI G,DE ANGELIS M,et al.Acute,short-term hyperglycemia enhances shear stress-induced platelet activation in patients with type Ⅱ diabetes mellitus[J].J Am Coll Cardiol,2003,41 (6):1013-1020.
  • 5ESPOSITO K,NAPPO F,MARFELLA R,et al.Inflammatory cytokine concentrations are acutely increased by hyperglycemia in humans:role of oxidative stress[J].Circulation,2002,106(6):2067-2072.
  • 6钟世勤,钟惠娟,侯维宁.急性心肌梗死后应激性高血糖诊断标准的探讨[J].中国心血管病研究,2005,3(9):694-695. 被引量：16
  • 7VAN'T HOF A W,ERNST N,DE BOER M J,et al.Facilitation of primary coronary angioplasty by early start of a glycoprotein 2b/3a inhibitor:result of the ongoing tirofiban in myocardial infarction elevation(On-TIME) trial[J].Eur Heart J,2004,25(10):837-846.

二级参考文献6

  • 1王旭,马树沛,王晏平,纪霞.急性心肌梗塞内分泌代谢改变对糖代谢的影响及其临床意义[J].临床心血管病杂志,1994,10(5):272-275. 被引量：30
  • 2[2]Lehto S,Ronneman. T,Pyorala K,et al. The mechanism and function of hyperglycemia in patients with myocardial infartion. Arteriosceler Thromb Vasc Biol,1999,19(4):1014-1019.
  • 3[1]Capes SE, Hunt D, Malmberg K, et al. Stress hyperglycaemia and increased risk of death after myocardial infarction in patients with and without diabetes:a systematic overview. Lancet, 2000,355: 733-778.
  • 4[2]Malberg K.Prospective randomised study of intensive insulin treatment on long term survival after acute myocardial infarction in patients with diabetes mellitus: DIGAMI (Diabetes Mellitus, Insulin Glucose Infusion in Acute Myocardial Infarction) Study.
  • 5[3]Malmberg KA, Efendic S, Ryden LE.Feasibility ofinsulinglucose infusion in diabetic patients with acute myocardial infarction:a report from the multicenter trial:DIGSAMI.Diabetes Care, 1994,17: 1007-1014.
  • 6金霞,张木勋.急性心肌梗塞伴高血糖的临床特征和预后[J].临床内科杂志,1999,16(3):149-150. 被引量：21

共引文献24

同被引文献35

  • 1谢洪智,沈珠军.冠状动脉的慢血流现象[J].中华心血管病杂志,2005,33(10):963-965. 被引量：29
  • 2宋涛,葛志明.急性高血糖：心肌梗死时一个新的危险因素[J].国际心血管病杂志,2006,33(6):387-390. 被引量：7
  • 3Collen D, Topol E J, Tiefenbrunn A J, et al. Coronary thrombolysis with recombinant human tissue type plasminogen activator: a prospective, randomized, placebo-controlled trial [J]. Circulation, 1984,, 70(6) : 1012-1017.
  • 4Iwakura K, Ito H, Ikushima M, et al. Association between hyperglycemia and the no reflow phenomenon in patients with acute myocardial infarction [ J]. J Am Coll Cardiol, 2003, 41 (1) :1-7.
  • 5Sakamoto T, Ogawa H, Kawano H, et al. Rapid change of platelet aggregability in acute hyperglycemia. Detection by a novel laser-light scattering method [ J]. Thromb Haemost, 2000,83(3) : 475-479.
  • 6Capes S E,Hunt D,Malmberg K,et al. Stress hyperglycaemia and increased risk of death after myocardial infarction in patients with and without diabetes: a systematic overview[J]. Lancet,2000,355(9206):773-778.
  • 7陈灏珠.实用内科学[M]11版[M].北京:人民卫生出版社,2001.957-959.
  • 8Dilaveris P E,Gialafos E J,Siderris S K,et al.Simple electrocardiographic markers for the prediction of paroxysmal idiopathic atrial fibrillation[J].Am Heart J,1998,135 (5 Pt 1):733-738.
  • 9Goel P K,Gupta S K,Agarwal A,et al.Slow coronary flow:a distinct angiographic subgroup in syndrome Ⅹ.[J].Angiology,2001,52(8):507-514.
  • 10Li J J,Wu Y J,Qin X W.Should slow coronary flow be considered as a coronary syndrome[J]? Med Hypotheses,2006,66(5):953-956.

引证文献5

二级引证文献18

实用医学杂志
2006年 第15期

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