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Assessment of heart function in patients with acute myocardial infarction after revascularization under different glycometabolism conditions by measuring plasma brain natriuretic peptide
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF DIABETES
- Issue:
- 9
- DOI:
- 10.3321/j.issn:1006-6187.2007.09.010
- Key Word:
- 心肌梗死;脑钠素;糖耐量受损
Abstract： 目的 通过测定急性心肌梗死(AMI)患者再灌注治疗后不同糖代谢状态下的血浆脑钠素(BNP)变化,探讨不同糖代谢状态下的患者心功能受损情况.方法 75例ST段抬高型AMI患者,分为糖耐量正常(NGT)组、糖耐量受损(IGT)组和糖尿病(DM)组.于发病后24 h、发病第7天测定患者血浆BNP水平.结果 发病后24 h和第7天两次测定血浆BNP水平,DM组均明显高于NGT组,IGT组与NGT组比较差异无统计学意义.发病第7天复查BNP,NGT组血浆BNP水平较前明显下降,DM组和IGT组血浆脑钠素水平无明显下降.结论 测定血浆BNP水平可以较好地评价不同糖代谢状态下AMI患者的心功能,糖代谢异常可能会加重AMI患者心功能的受损.
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