非糖尿病患者急性心肌梗死后的高血糖。
Hyperglycemia in nondiabetic patients presenting with acute myocardial infarction.
机构信息
Division of Cardiology, Department of Internal Medicine, VA New York Harbor Health Care System, New York City, USA.
出版信息
Am J Med Sci. 2012 Apr;343(4):321-6. doi: 10.1097/MAJ.0b013e31822fb423.
Abstract
Hyperglycemia is common in nondiabetic patients with acute myocardial infarction (AMI). Elevated blood glucose level may reflect a response to stress, an underlying abnormal glucometabolic state or both. Regardless of mechanism, hyperglycemia complicating AMI is associated with an inflammatory and prothrombotic state, depressed myocardial contractility and increased short- and long-term mortality. Studies are needed to define optimal monitoring and management of hyperglycemia in nondiabetic patients with AMI.
摘要
非糖尿病急性心肌梗死（AMI）患者常伴有高血糖。升高的血糖水平可能反映了机体对压力的应激反应、潜在的异常糖代谢状态，或两者兼而有之。无论机制如何，并发 AMI 的高血糖与炎症和促血栓形成状态、心肌收缩力降低以及短期和长期死亡率增加相关。需要研究来明确非糖尿病 AMI 患者高血糖的最佳监测和管理方法。
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