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Study On The Association Between Acute Coronary Syndrome Patients With Stress Hyperglycemia And Adverse Cardiovascular Events During Hospitalization

Posted on:2014-09-08Degree:MasterType:Thesis
Country:ChinaCandidate:J YanFull Text:PDF
GTID:2254330401989761Subject:Department of Cardiology
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Objective:To study the acute coronary syndrome patients with stress hyperglycemia on vascular events during heart hospital, clear stress hyperglycemia in Acute Coronary Syndrome Evaluation in danger, period of cardiovascular events in patients with acute coronary syndrome and lay the foundation for clinical treatment and prevention, is looking for ideas for acute coronary syndrome to improve prognosis.Methods:According to the average of24hours of admission closed beta two random blood glucose,117patients with a first acute coronary syndrome patients with no history of diabetes is divided into combined stress hyperglycemia (ACS+SH) group and do not merge stress blood glucose (ACS+non SH) groups were compared SH elevated risk factors such as age, gender, body mass index, blood lipids, left ventricular ejection fraction, serum cardiac troponin T, the two groups were compared, not during hospitalization good cardiovascular events (serious arrhythmia, left ventricular dysfunction, cardiogenic shock) were observed. All patients in accordance with the opt-in standard Accurate, the American College of Cardiology (ACC) and the American Heart Association (AHA). Diagnostic criteria developed by ACS in2000.Results:Acute coronary syndrome patients were divided into combined stress hyperglycemia (ACS+SH) group with combined stress hyperglycemia (ACS+non SH) group, no significant difference in gender, blood lipids; age, body mass index, left ventricular ejection fraction, cardiac troponin T for the risk factors associated with SH. Chi-square test found that the combined stress hyperglycemia (ACS+SH) group adverse cardiovascular events (serious arrhythmia, left ventricular dysfunction, cardiogenic shock, cardiogenic sudden death) were significantly higher than merge stress-induced hyperglycemia (ACS+non-SH) group.Conclusions:Age, body mass index, left ventricular ejection fraction, cardiac troponin T,SH-related risk factors, suggesting that age, body mass index, poor cardiac function, and cardiac troponin T values, the more prone SH.SH is major risk factor for major adverse cardiovascular events in patients with ACS during hospitalization.
Keywords/Search Tags:Acute Coronary Syndrom, Stress Hyperglycemia, MajorAdverse Cardiovascular Events
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