急性冠脉综合征患者高血糖的相关性研究

Correlation of hyperglycaemia with acute coronary syndrome： a systematic review

随着对心血管疾病研究的不断深入，急性冠脉综合征（ACS）患者血糖升高的现象逐渐引起人们的重视。在一些血糖升高的患者中通常存在糖尿病或糖耐量受限。这种情况说明他们或多或少的存在潜在的胰岛素抵抗或胰岛B细胞功能不全，从而通过其他机制产生不良预后。相比来说，关于ACS时出现的高血糖报道还不是很多见。本文综合近年相关研究结果，对于ACS伴发急性高血糖的发病率、原因及对心血管系统的不良影响以及预后进行相关综述。

Along with the deepening of the research on cardiovascular disease, the elevation of blood glucose in patients with acute coronary syndrome （ACS） has aroused some attention. The patients with elevated blood glucose usually have diabetes or impaired glucose tolerance, suggesting that they may, more or less, have the potential of insulin resistance and islet beta cell insufficiency. Thus, they have poor prognosis through other mechanisms. However, there were not many reports about ACS accompanied with high blood glucose. In this paper we reviewed the incidence, causes, and adverse effects on the cardiovascular system and the prognosis of ACS accompanied by acute high glucose after our comprehensive review of related studies in recent years.