海员超重与冠心病急性心肌梗死发病的关系

THE STUDY BETWEEN OVERWEIGHT AND ACUTE MYOCARDIUM INFARCTION IN PATIENTS WITH CORONARY HEART DISEASE

本研究以住我院治疗的422例海员冠心病人为对象,按体质指数BMI<25kg/m^2和BMI≤25kg/m^2分为非超重和超重冠心病组.结果表明:超重冠心病组急性心肌梗死及其合并心力衰竭的发生率均显著增加,AMI的死亡率也增加,几种心血管病生物学危险因素如血压(SBP和DBP)、心率、血糖、甘油三酯(TG)、胆固醇(Ch)和血粘度超重组均显著高于非超重组,而动脉粥样硬化保护因素HDL-C则显著低于非超重组,体质指数(BMI)与心血管病生物学危险因素的相关分析进一步证实BMI与心血管病生物学危险因素呈正相关,而与保护因素HDL-C呈负相关.

A total of 422 patients with coronary heart disease (CHD) from Shanghai Seaman Hospital were divided into overweight(BMI≥25kg/m2 ) and non - overweight ( BMK 25 kg/m2 ) group for comparing the incidence of acute myocardium infarction(AMI) and the risk factors resulting in cardiovascular diseases. The results showed that the incidence of AMI and its complication heart congestion were significantly higher in overweight group than that in non - overweight group, leading to a higher mortality in overweight group. The risk factors of cardiovascular diseases such as SBP, DBP, TG, Ch, blood glucose and blood viscosity were also significantly increased while HDL - C was reduced in overweight group, which was further demonstrated by linear regression analysis between BMI and the risk factor of cardiovascular diesases.