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Correlation between HbA1 c level and severity of coronary artery disease

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Author:
No author available
Journal Title:
Chinese Journal of Diabetes
Issue:
12
DOI:
10.3969/j.issn.1006-6187.2011.12.009
Key Word:
糖化血红蛋白;冠心病;冠脉狭窄程度积分;经皮冠状动脉介入

Abstract: 目的 探讨HbA1c水平与冠状动脉病变程度的相关性及临床意义. 方法 对临床疑诊或诊断为冠心病(CHD)而行冠状动脉造影的541例患者进行HbA1c测定分组,评价HbA1c水平与CHD、冠脉狭窄程度(Gensini积分法)、冠脉狭窄支数及接受PCI治疗等的相关性. 结果 随HbA1c水平升高,CHD患病率显著上升(P<0.01),Spearman等级相关分析显示,HbA1c与CHD、病变支数、Gensini积分和接受PCI治疗显著相关(r=0.211,P<0.01;r=0.213,P<0.01;r=0.233,P<0.01;r=0.137,P<0.01).Logistic多元逐步回归分析结果显示,HbA1c为CHD的独立危险因素(OR=1.436,95%CI为1.128~1.828,P<0.01). 结论 HbA1c与冠脉病变程度呈正相关,长期升高可能促进CHD的发生.

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