Pullicino P M, Xuereb M, Aquilina J, Piedmonte M R
Department of Neurology, SUNY, Buffalo, New York.
J Intern Med. 1992 Mar;231(3):287-93. doi: 10.1111/j.1365-2796.1992.tb00537.x.
To investigate the effect of diabetes on stroke after myocardial infarction (MI), we studied consecutive MI patients admitted to the coronary-care unit prospectively, and compared diabetics with non-diabetics. Seven per cent (11/148) of diabetics and 3% (8/297) of non-diabetics had a stroke within 1 month after MI (P = 0.020). Previous stroke and hypertension were significant risk factors for stroke after MI in diabetics, but there were no significant risk factors in non-diabetics. Hypertension was more frequent in diabetics with (12/14; 86%) than in diabetics without (63/134; 47%) a previous stroke (P less than 0.025). Severe hypotension was more frequent in diabetics (9/11) than in non-diabetics with stroke after MI (0/8) (P = 0.002). We conclude that hypertension is a risk factor for stroke after MI in diabetics, and that may be at risk for hypotensive stroke after MI. Stroke after MI may be more frequent in diabetics than in non-diabetics.
为研究糖尿病对心肌梗死（MI）后中风的影响，我们对入住冠心病监护病房的连续性MI患者进行了前瞻性研究，并比较了糖尿病患者与非糖尿病患者。糖尿病患者中有7%（11/148）、非糖尿病患者中有3%（8/297）在MI后1个月内发生中风（P = 0.020）。既往中风和高血压是糖尿病患者MI后中风的显著危险因素，但非糖尿病患者中无显著危险因素。有既往中风的糖尿病患者（12/14；86%）高血压发生率高于无既往中风的糖尿病患者（63/134；47%）（P<0.025）。MI后中风的糖尿病患者中严重低血压发生率（9/11）高于非糖尿病患者（0/8）（P = 0.002）。我们得出结论，高血压是糖尿病患者MI后中风的危险因素，且这些患者可能有MI后低血压性中风风险。MI后中风在糖尿病患者中可能比非糖尿病患者更常见。
