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糖尿病患者首次急性心肌梗塞(AMI)后死亡危险大于非糖尿病患者。有人认为AMI面积是存活最重要的指征。本文研究糖尿病患者AMI面积是否大于非糖尿病患者。 据报道,在前壁和下壁AMI时,QRS积分系统与尸检估价的AMI面积高度相关,并与动脉造影和闪烁摄影估价的左室射血分数高度相关。本研究回顾了1978—1980年间入院的192例诊断为糖尿病和AMI的患者。诊断AMI至少符合下列三项:①出院诊断为AMI;②心电图(ECG)示穿壁性AMI,且首次出现Q波;③肌酸激酶水平>130IU;
Diabetes patients have a greater risk of dying after the first acute myocardial infarction (AMI) than non-diabetic patients. Some people think that AMI area is the most important indication of survival. This article investigates whether AMI in diabetic patients is larger than in non-diabetic patients. It has been reported that in the anterior and inferior AMI, the QRS score system is highly correlated with the area of the autopsy AMI and is highly correlated with left ventricular ejection fraction assessed by angiography and scintigraphy. This study reviews 192 patients admitted to the hospital between 1978 and 1980 who were diagnosed with diabetes mellitus and AMI. The diagnosis of AMI at least meet the following three: ① discharge diagnosed as AMI; ② ECG traumatic wall AMI, and the first wave Q; ③ creatine kinase level> 130IU;