{"title":"急性心肌梗死患者初次经皮冠状动脉介入治疗后入院时应激性高血糖和糖化血红蛋白对心功能长期恢复的预测价值","authors":"Jinfeng Xiao, Chuanchao Luo, Lixin Yang","doi":"10.5830/CVJA-2023-056","DOIUrl":null,"url":null,"abstract":"<p><p>We aimed to explore the predictive values of stress hyperglycaemia (SHG) and glycosylated haemoglobin (HbA<sub>1c</sub>) levels on admission for long-term recovery of cardiac function in patients with acute myocardial infarction (AMI) after primary percutaneous coronary intervention (PPCI). A total of 210 AMI patients were randomly selected. The levels of SHG and HbA<sub>1c</sub> were measured on admission, and all patients were treated with PPCI and followed up for one year. According to the recovery status of cardiac function during follow up, the patients were divided into a good recovery group and a poor recovery group. At one year after treatment, there were statistically significant differences in the levels of SHG (6.75 ± 0.69 vs 7.81 ± 0.92 mmol/l) and HbA<sub>1c</sub> (5.13 ± 0.25 vs 5.91 ± 0.39%) between the good and poor recovery groups (<i>p</i> < 0.05). The levels of SHG and HbA<sub>1c</sub> were associated with long-term recovery of cardiac function (<i>p</i> < 0.05). The receiver operating characteristic curves were plotted, and the area under the curves of SHG and HbA<sub>1c</sub> for predicting the long-term recovery of cardiac function were > 0.70. The levels of SHG and HbA<sub>1c</sub> were closely associated with longterm recovery of cardiac function after PPCI in AMI patients, displaying high predictive values.</p>","PeriodicalId":9434,"journal":{"name":"Cardiovascular Journal of Africa","volume":null,"pages":null},"PeriodicalIF":0.7000,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Predictive values of stress hyperglycaemia and glycosylated haemoglobin on admission for long-term recovery of cardiac function in patients with acute myocardial infarction after primary percutaneous coronary intervention.\",\"authors\":\"Jinfeng Xiao, Chuanchao Luo, Lixin Yang\",\"doi\":\"10.5830/CVJA-2023-056\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>We aimed to explore the predictive values of stress hyperglycaemia (SHG) and glycosylated haemoglobin (HbA<sub>1c</sub>) levels on admission for long-term recovery of cardiac function in patients with acute myocardial infarction (AMI) after primary percutaneous coronary intervention (PPCI). A total of 210 AMI patients were randomly selected. The levels of SHG and HbA<sub>1c</sub> were measured on admission, and all patients were treated with PPCI and followed up for one year. According to the recovery status of cardiac function during follow up, the patients were divided into a good recovery group and a poor recovery group. At one year after treatment, there were statistically significant differences in the levels of SHG (6.75 ± 0.69 vs 7.81 ± 0.92 mmol/l) and HbA<sub>1c</sub> (5.13 ± 0.25 vs 5.91 ± 0.39%) between the good and poor recovery groups (<i>p</i> < 0.05). The levels of SHG and HbA<sub>1c</sub> were associated with long-term recovery of cardiac function (<i>p</i> < 0.05). The receiver operating characteristic curves were plotted, and the area under the curves of SHG and HbA<sub>1c</sub> for predicting the long-term recovery of cardiac function were > 0.70. The levels of SHG and HbA<sub>1c</sub> were closely associated with longterm recovery of cardiac function after PPCI in AMI patients, displaying high predictive values.</p>\",\"PeriodicalId\":9434,\"journal\":{\"name\":\"Cardiovascular Journal of Africa\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2023-11-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cardiovascular Journal of Africa\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.5830/CVJA-2023-056\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cardiovascular Journal of Africa","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.5830/CVJA-2023-056","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0
摘要
我们旨在探讨入院时应激性高血糖(SHG)和糖化血红蛋白(HbA1c)水平对急性心肌梗死(AMI)患者经皮冠状动脉介入治疗(PPCI)后心功能长期恢复的预测价值。随机选取AMI患者210例。入院时测量SHG和HbA1c水平,所有患者均接受PPCI治疗并随访1年。根据随访时心功能恢复情况将患者分为恢复良好组和恢复较差组。治疗1年后,恢复良好组与恢复不良组SHG(6.75±0.69 vs 7.81±0.92 mmol/l)、HbA1c(5.13±0.25 vs 5.91±0.39%)水平比较,差异有统计学意义(p < 0.05)。SHG和HbA1c水平与心功能的长期恢复相关(p < 0.05)。绘制受试者工作特征曲线,SHG和HbA1c曲线下预测心功能长期恢复的面积> 0.70。AMI患者PPCI后SHG和HbA1c水平与心功能的长期恢复密切相关,具有较高的预测价值。
Predictive values of stress hyperglycaemia and glycosylated haemoglobin on admission for long-term recovery of cardiac function in patients with acute myocardial infarction after primary percutaneous coronary intervention.
We aimed to explore the predictive values of stress hyperglycaemia (SHG) and glycosylated haemoglobin (HbA1c) levels on admission for long-term recovery of cardiac function in patients with acute myocardial infarction (AMI) after primary percutaneous coronary intervention (PPCI). A total of 210 AMI patients were randomly selected. The levels of SHG and HbA1c were measured on admission, and all patients were treated with PPCI and followed up for one year. According to the recovery status of cardiac function during follow up, the patients were divided into a good recovery group and a poor recovery group. At one year after treatment, there were statistically significant differences in the levels of SHG (6.75 ± 0.69 vs 7.81 ± 0.92 mmol/l) and HbA1c (5.13 ± 0.25 vs 5.91 ± 0.39%) between the good and poor recovery groups (p < 0.05). The levels of SHG and HbA1c were associated with long-term recovery of cardiac function (p < 0.05). The receiver operating characteristic curves were plotted, and the area under the curves of SHG and HbA1c for predicting the long-term recovery of cardiac function were > 0.70. The levels of SHG and HbA1c were closely associated with longterm recovery of cardiac function after PPCI in AMI patients, displaying high predictive values.
期刊介绍:
The Cardiovascular Journal of Africa (CVJA) is an international peer-reviewed journal that keeps cardiologists up to date with advances in the diagnosis and treatment of cardiovascular disease. Topics covered include coronary disease, electrophysiology, valve disease, imaging techniques, congenital heart disease (fetal, paediatric and adult), heart failure, surgery, and basic science.