Lunda P, Zamrazil V, Simecková A, Stolba P, Husek P, Bednár J, Vána V
Interní klinika FDL, Praha.
Vnitr Lek. 1991 Nov-Dec;37(11-12):859-66.
The authors examined 68 patients with a acute myocardial infarction without previously detected diabetes. They evaluated the importance of the relationship of the intensity of the stressor, humoral stress response and the response of the carbohydrate metabolism for the early prognosis of the infarction. Despite the complexity of these relations and heterogenity in the group of these patients, the authors confirmed the prognostic importance of hyperglycaemia, cortisolaemia and urinary catecholamine levels, and based on their own experience, they recommended to follow up these indicators during the first days after development of the infarction.
作者对68例既往未检测出糖尿病的急性心肌梗死患者进行了研究。他们评估了应激源强度、体液应激反应和碳水化合物代谢反应之间的关系对于梗死早期预后的重要性。尽管这些关系复杂且该组患者存在异质性,但作者证实了高血糖、皮质醇血症和尿儿茶酚胺水平的预后重要性,并根据自身经验建议在梗死发生后的头几天对这些指标进行随访。