Relationship between the blood glucagon, growth hormone and glucose levels in myocardial infarction.

L Ceremuzyń-Ski
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Abstract

The blood levels of glucagon, growth hormone and glucose were investigated in early (1st day) and late stages (3rd week) of myocardial infarction in 11 cases of severe and 6 cases of mild myocardial infarction. The results were related to those in 9 healthy controls. In severe myocardial infarction associated with complications the glucagon level was statistically significantly higher than in controls in the early as well as in the late stage of the disease. In mild myocardial infarction this was not observed. The growth hormone level was significantly higher than normal in patients with severe myocardial infarction in only a few cases and only in the early stage. The differences between both stages of infarction and between patients and controls were not significant. Blood glucose level in the early stage of severe myocardial infarction was higher than normal and statistically significantly higher than in the late stage. In view of the differences in blood glucose and glucogon levels during severe myocardial infarction it seems that hyperglycemia in early stages of the disease depends on the high catecholamines level in the blood and on the insulin: glucagon index and not on the absolute concentration of glucagon in the blood.

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心肌梗死时胰高血糖素、生长激素与血糖的关系。
对11例重度心肌梗死患者和6例轻度心肌梗死患者在心肌梗死早期(第1天)和晚期(第3周)血糖、生长激素和葡萄糖水平进行测定。结果与9名健康对照者相关。在伴有并发症的严重心肌梗死患者中,胰高血糖素水平在疾病早期和晚期均显著高于对照组。在轻度心肌梗死中没有观察到这一点。严重心肌梗死患者生长激素水平明显高于正常值,仅少数病例且仅在早期。两期梗死之间以及患者与对照组之间的差异均不显著。重症心肌梗死早期血糖水平高于正常水平,晚期血糖水平高于正常水平有统计学意义。鉴于严重心肌梗死期间血糖和胰高血糖素水平的差异,似乎疾病早期的高血糖取决于血液中高儿茶酚胺水平和胰岛素:胰高血糖素指数,而不是血液中胰高血糖素的绝对浓度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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