摘要
目的探讨糖尿病对急性心肌梗死患者的心律震荡（Heart Rate Turbulence，HRT）的影响。方法选取起病1～2周的急性心梗患者134例，按是否合并2型糖尿病分为合并糖尿病的AMI组（A组）和非糖尿病的AMI组（B组），并取健康对照50例，收集资料，计算震荡初始（Turbulence Onset，TO）和震荡斜率（Turbulence Slope，TS），并统计TO、TS 2项阳性率、1项阳性率及2项阴性率。结果A组TO、TS值显著低于B组，P〈O．05；急性心梗组2项阳性率显著高于健康对照组，P〈0．05。结论糖尿病能放大急性心肌梗死对心律震荡的负面效应。
Objective To observe the influence of heart rate turbulence in AMI patients accompanied by diabetes meUitus. Methods One hundred and thirty-four patients with AMI onset in 1 - 2weeks were divided into two groups： A group-AM/with diabetes mellitus and B group-AMI without diabetes mellitus. They were examed by 24 hours Hoher monitoring. HRT onset （TO） and slope （TS） were calculated from Holter records. Each group was classified into three subgroups： both TO and TS were abnormal subgroup, either TO or TS was abnormal subgroup and both TO and TS were normal subgroup. The mean value of To and TS and the number of patients in the subgroup of both TO and TS were abnormal were compared between two groups. Results TO and TS were significantly lower in A group than in B group （P 〈0.05）. The number of patients in both TO and TS abnormal subgroup in A group was higher than in B group （P〈 0.05）. Conclusions Diabetes mellitus can enlarge the influence of HRT caused by AMI.
出处
《心脑血管病防治》
2008年第2期86-87,90,共3页
CARDIO-CEREBROVASCULAR DISEASE PREVENTION AND TREATMENT
关键词
急性心肌梗死
2型糖尿病
HOLTER
心律震荡
震荡初始
震荡斜率
Acute myocardial infarction
Diabetes mellitus
Holter
Heart rate turbulence
Turbulence Onset
Turbulence Slope
