糖尿病合并急性心肌梗塞患者冠脉造影结果分析

ANALYSIS OF THE CORONARY ARTERIOGRAPHY RESULTS OF THE KIABETES WITH ACUTE MYOCARDIAL INFARCTION

对２０例糖尿病合并急性心肌梗塞（ＡＭＩ）的患者（Ａ组）及２６例无糖尿病的ＡＭＩ患者（Ｂ组）分别进行冠状动脉造影，结果显示：Ａ组冠状动脉病变积分明显高于Ｂ组，但狭窄≥７５％的冠状动脉支数二者无显著差异，左室射血分数Ａ组亦低于Ｂ组，此与临床上糖尿病合并ＡＭＩ的患者心衰发病率高相一致。

Coronary arteriographies were performed in 20 cases AMI patients with diabetes (group A)and 26 cases AMI patients without diabetes. The score of coronary arterial stenosis in group A was significantly higher than that of group B.But there is no significant difference in the nunmbers of coronary vessels which stenosis was greater than 75 percent between two groups.Left ventricular ejection fraction was remarkably decreased in AMI patients with diabetes. These results were correlated with the clinical phenomenon that incidence of heart failure was high in AMI patients with diabetes.