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控制血糖水平:一个风险因素在糖尿病患者心肌梗塞急性ST段肝素)

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摘要介绍:急性心肌梗死(MI)是一个糖尿病患者的发病率和死亡率的主要原因。糖尿病特有贡献因素导致心肌梗死的发生率高的增加动脉粥样硬化斑块形成和血栓形成。虽然糖尿病患者有更高的风险发展缺血性心脏病,糖尿病(DM)的影响急性心肌梗死患者再灌注治疗后的预后仍然是有争议的。目的:本研究的目的是评估和预后进行比较,控制并发症,收缩期和舒张功能与不受控制的糖尿病患者。材料和方法:回顾性研究98例急性STEMI。37例(37.8%)被发现DM 2型。糖尿病患者的血糖水平测量,并进一步分为2组,控制糖尿病患者的血糖值≤125 mg / dl空腹血糖(的边后卫)或餐后≤140 mg / dl和不受控制的糖尿病患者≥140 mg / dl的边后卫或餐后≥200 mg / dl。结果:37岁的糖尿病患者,男性是67.6%,女性是32.4%的平均年龄59±11。高血压有失控和控制糖尿病患者分别为80.8%和54.5%。3.8%的不受控制的糖尿病患者出现室性快速性心律失常。 Tricoronary artery involvement was found in 34.6% of the uncontrolled patients and in 18% of the controlled patients. Post MI reperfusion management complications were present in uncontrolled and controlled diabetic patients with 11.5% and 9.1% respectively. Systolic dysfunction was present in uncontrolled and controlled groups in 84.6% vs. 72.7% while diastolic dysfunction was present in 73.1% vs. 27.3% respectively. Mortality rate was 3.8% in diabetic patients with uncontrolled glucose levels. Conclusions: Uncontrolled glucose levels in diabetic patients were significantly correlated with higher rates of tachyarrhythmia, tricoronary artery involvement, hypertension, post MI reperfusion management complications, mortality rates, systolic and diastolic dysfunctions.

阿萨米Ismaiel

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