摘要
目的探讨梗死前心绞痛对糖尿病急性心肌梗死(AMI)患者心功能的影响。方法216例糖尿病AMI患者,按梗死前48h内有无心绞痛分为无心绞痛史组78例和有心绞痛史组138例。所有患者均在发病6h内行溶栓或直接经皮冠状动脉介入(PCI)治疗。术后2w行99mTc心血池显像测定心功能。结果有心绞痛史组左室射血分数(LVEF)、左室峰射血率(LPER)和左室峰射血时间(LTPER)均好于无心绞痛史组(P<0.05)。有心绞痛史组左室峰充盈率(LPFR)和左室峰充盈时间(LTPFR)均好于无心绞痛史组(P<0.05)。结论梗死前心绞痛可以改善糖尿病AMI患者的心功能。
Objective To evaluate effects of preinfarction angina on function of diabetic patients with acute myocardial infarction （AMI）. Methods 216 diabetic patients with AMI were divided into two groups：no previous angina group（n =78） and preinfarction angina group occurring within 48 h before onset of AMI （n = 138 ）. All patients undervent thrombolysis or direct PCI within 6 h after onset of AMI; 99mWc gated cardiac blood pool image was performed to measure ventricular function at 2 weeks. Results Left ventrieular systolic performance parameters including LVEF, LPER and LTPER were significantly better in group with preinfarction angina than those in group without preinfarction angina （ P 〈 0. 05 ）. Left ventricular diastolic performance parameters including LPFR and LTPFR were also better in group with preinfarction angina than those in group without preinfarction angina （ P 〈 0. 05 ）. Conclusions Preinfarction angina within 48 h before AMI onset could improve ventricular function in diabetic patients.
出处
《中国老年学杂志》
CAS
CSCD
北大核心
2008年第17期1729-1730,共2页
Chinese Journal of Gerontology
基金
河北省科技厅科技攻关指导课题(052761250)
关键词
心绞痛
心肌梗死
糖尿病
心功能
Angina pectofis
Myocardial infarction
Diabete
Ventricular function
