高血糖对老年急性ST段抬高心肌梗死患者预后的影响

目的探讨入院时血糖水平对老年急性ST段抬高心肌梗死(STEMI)患者预后的影响。方法检测186例老年急性STEMI患者入院时的随机血糖,根据血糖水平分为A、B、C三组。A组血糖≤7.7 mmol/L,B组血糖7.8～10.9mmol/L,C组血糖≥11.0 mmol/L。结果①C组心功能Killip分级≥2级者明显高于A、B组(分别为44.6%比23.5%、29.5%,p<0.01)。②C组住院期间死亡率明显高于A、B组(分别为8.9%比4.4%、4.8%,p<0.05)。结论合并高血糖的老年急性STEMI患者心功能及预后均较差。

IMPACT OF HYPERGLYCEMIA ON PROGNOSIS OF AGED PATIENTS WITH ACUTE ST SEGMENT ELEVATION MYOCARDIAL INFARCTION

Objective To evaluate impact of hyperglycemia on prognosis of aged patients with acute ST segment elevation myocardial infarction（STEMI）.Methods 186 aged patients with STEMI were divided into three groups according to the level of blood glucose on admission： group A with blood glucose concentration≤7.7 mmol/l,group B with blood glucose concentration7.810.9 mmol/l and group C with blood glucose concentration≥11.0 mmol/l.Results ① There were more patients with grade of killp class≥2 in group C than that in group A（44.6% vs 23.5% p〈0.01）and group B（44.6% vs 29.5% p〈0.01）.②The in hospital mortalily rate of group C were significantly higher than those in group A and group B（8.9% vs 4.4% and 4.8% p〈0.05）.Conclusion Hyperglycemia at admission was associated with poor cardiac function and prognosis in elderly patients with acute STEMI.