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首页> 外文期刊>Circulation journal >Impact of Diabetes Mellitus on Rehospitalization for Heart Failure Among Survivors of Acute Myocardial Infarction in the Percutaneous Coronary Intervention Era
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Impact of Diabetes Mellitus on Rehospitalization for Heart Failure Among Survivors of Acute Myocardial Infarction in the Percutaneous Coronary Intervention Era

机译：糖尿病对经皮冠状动脉介入时代急性心肌梗死幸存者心衰再住院的影响

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Background: There is little data regarding the clinical impact of diabetes mellitus (DM) on heart failure (HF) among survivors of acute myocardial infarction (AMI) in the percutaneous coronary intervention (PCI) era. Methods and Results: The present study group comprised 4,035 survivors who underwent PCI within 24 h of the onset of symptoms. DM was an independent predictor of rehospitalization for HF by multivariate analysis (hazard ratio (HR) 1.576, P=0.010). The risk of rehospitalization for HF was similar between patients with DM who did not have an enlarged left ventricular diastolic diameter (LVDd <51 mm) before discharge and patients without DM who showed an increase in LVDd (>51 mm) (HR 1.020, P=0.959). In the DM group, the hemoglobin Aic level before discharge was similar between patients with and without rehospitalization for HF (7.5+-1.9% vs 7.4+-1.6%, P=0.455), whereas high-sensitivity C-reactive protein (hs-CRP) was higher in patients with than without rehospitalization for HF(1.80+-3.63 vs 0.75+-2.03 mg/dl, P=0.001).
机译：背景：在经皮冠状动脉介入治疗（PCI）时代，急性心肌梗死（AMI）幸存者中糖尿病（DM）对心力衰竭（HF）的临床影响的数据很少。方法和结果：本研究组包括4035名在症状发作后24小时内接受PCI的幸存者。通过多变量分析，DM是HF住院治疗的独立预测因子（危险比（HR）1.576，P = 0.010）。在出院前没有左心室舒张直径增大（LVDd <51 mm）的DM患者和没有LVDd（> 51 mm）增加的无DM患者之间，发生HF再次住院的风险相似（HR 1.020，P = 0.959）。在DM组中，有和没有进行HF住院治疗的患者出院前的血红蛋白Aic水平相似（7.5 + -1.9％对7.4 + -1.6％，P = 0.455），而高敏感性C反应蛋白（hs-有HF住院治疗的患者比没有住院治疗的患者的CRP更高（1.80 + -3.63 vs 0.75 + -2.03 mg / dl，P = 0.001）。

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