诊断性冠状动脉造影患者糖尿病病程与Gensini评分的关系

Eman Mahmoud El-Naghy, M. Salama, Suzan Bayomi El-Hefnawy, MA Omer
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摘要

背景:Gensini (G评分)是心脏病学中应用最广泛的评分系统之一。根据造影结果判断冠状动脉病变严重程度是一种客观的方法。这项工作的目的是评估G评分与慢性糖尿病(DM)的冠脉造影病例的关系。方法:对300例接受降糖治疗的糖尿病(DM)患者进行前瞻性队列研究,并对疑似冠状动脉疾病进行诊断性冠状动脉造影。计算G评分,衡量冠状动脉疾病的严重程度。结果:年龄、吸烟、糖尿病慢性、胆固醇、甘油三酯、心电图与G评分呈显著正相关,与女性呈显著负相关。也。有缺血改变组的平均G评分显著高于无缺血改变组。因此,糖尿病的慢性性是G评分有统计学意义的预测因子。结论:G评分与糖尿病的慢性程度呈正相关。
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Relationship between Duration of Diabetes Mellitus and Gensini Score in Patients Undergoing Diagnostic Coronary Angiography
Background: Gensini (G score) is one of the most widely used scoring systems in cardiology. It is an objective method to determine the coronary artery disease severity according to angiographic findings. The aim of this work was to assess the relation between G score and the chronicity of diabetes mellitus (DM) in cases undergoing coronary angiography. Methods: This prospective cohort research was carried out on 300 cases with diabetes mellitus (DM) on antidiabetic treatment who were referred to diagnostic coronary angiography for suspected coronary artery disease. G score was calculated for measurement of the coronary artery disease severity. During the period from October 2020 to Aril 2022 Results: Age, smoking, chronicity of DM, cholesterol, triglycerides test, and electrocardiogram were statistically prominent positively related with G score, while female gender was statistically significant negative relation with it. Also. Mean G score was statistically prominent higher in cases with ischemic changes than in cases without ischemic changes. Therefore, the chronicity of DM was statistically significant predictor of G score. Conclusions: significant positive relation between the G score and the chronicity of DM.
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