肥胖女性糖尿病患者急性心肌梗死后死亡率高。
High mortality in obese women diabetics with acute myocardial infarction.
作者信息
Tansey M J, Opie L H, Kennelly B M
出版信息
Br Med J. 1977 Jun 25;1(6077):1624-6. doi: 10.1136/bmj.1.6077.1624.
Abstract
The factors associated with mortality in 89 diabetics and 793 non-diabetics with acute myocardial infarction who were initially admitted to a coronary care unit were analysed retrospectively. During their stay in hospital diabetics had twice the mortality of non-diabetics. The higher mortality among diabetics was largely accounted for by obese women, who had a hospital mortality of 43%. There was an increased incidence of congestive heart failure in such patients. A therapeutic trial should be performed in such patients to assess whether insulin has an effect on infarct size.
摘要
对最初入住冠心病监护病房的89例糖尿病急性心肌梗死患者和793例非糖尿病急性心肌梗死患者的死亡相关因素进行了回顾性分析。在住院期间，糖尿病患者的死亡率是非糖尿病患者的两倍。糖尿病患者中较高的死亡率主要由肥胖女性导致，她们的医院死亡率为43%。这类患者充血性心力衰竭的发生率增加。应该对这类患者进行治疗试验，以评估胰岛素是否对梗死面积有影响。
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