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目的探讨糖尿病患者并发急性心肌梗死(AMI)的临床特点。方法对榆次区人民医院2004-2006年住院的58例糖尿病并发AMI和非糖尿病AMI患者的临床特点进行回顾分析,比较两组AMI的不同。结果伴糖尿病AMI组的临床特点:发病年龄为(56.3±7.2)岁,无痛型AMI为56.9%,心衰发病率为63.79%,多支病变为62.07%,室性心律失常为48.28%,死亡率为20.69%;不伴糖尿病AMI的临床特点:发病年龄为(63.2±6.8)岁,无痛型AMI为20.43%,心衰发病率为34.41%,多支病变为35.48%,室性心律失常为24.73%,死亡率为8.60%.结论糖尿病患者并发AMI发病年龄早,常呈无痛型,梗死面积大,合并症多,死亡率高。
Objective To investigate the clinical features of diabetic patients complicated with acute myocardial infarction (AMI). Methods The clinical features of 58 patients with diabetes mellitus complicated with AMI and non-diabetic AMI admitted to the People’s Hospital of Yuci District during 2004-2006 were retrospectively analyzed. The differences of AMI between the two groups were compared. Results The clinical features of diabetic AMI group were 56.3 ± 7.2 years old, 56.9% AMI, 63.79% heart failure, 62.07% multi-vessel disease, 48.28% ventricular arrhythmia, The mortality rate was 20.69%. The clinical features of AMI without diabetes were as follows: the age of onset was (63.2 ± 6.8) years old, the painless AMI was 20.43%, the incidence of heart failure was 34.41%, and the multi-vessel disease was 35.48% The abnormality was 24.73% and the mortality rate was 8.60% .Conclusion The onset of AMI in patients with diabetes mellitus is early and often painless with large infarct size, multiple complications and high mortality.