32例糖尿病合并前壁心肌梗死患者的临床特点分析

The Clinical Characteristics Analysis of the 32 Cases before the Merger of the Diabetes Myocardial Infarction

目的:探讨糖尿病合并前壁心肌梗死患者的临床特点与治疗效果。方法:采用动态心电图监测32例糖尿病合并前壁心肌梗死患者左心室功能,同时进行介入治疗。结果:糖尿病前壁心肌梗死患者的SDNN和HRVI明显低于非糖尿病前壁心肌梗死患者(P<0.05),说明左心室肥厚程度与HRV变化呈正相关性。32例患者成功置入支架50枚,手术成功率100%,且无心脑血管事件发生。结论:左心室重构是前壁心肌梗死并发心脏损害的结构基础与临床特征,而介入治疗可有效提高治疗效果。

Objective：To evaluate the clinical features and treatment results of anterior myocardial infarction in diabetic patients.Methods：32 patients anterior myocardial infarction in diabetic used the Holter monitoring and intervention left ventricular function simultaneously.Results：The diabetic patients with anterior myocardial infarction and HRVI SDNN was significantly lower than non-diabetic patients with anterior myocardial infarction（P0.05） showd that the degree of left ventricular hypertrophy was positively correlated with HRV changes.32 patients were successfully implanted 50 stents,100% success rate,and the mood of cerebrovascular events.Conclusion：Left ventricular reconstruction is anterior myocardial infarction complicated by heart damage the structure of basic and clinical characteristics,and intervention can improve treatment.