冠心病患者糖化血红蛋白水平与冠状动脉病变的相关性
冠状动脉疾病,,冠状动脉疾病;糖化血红蛋白;冠脉狭窄程度积分,0引言,1对象和方法,2结果,3讨论,【参考文献】
Correlation between the level of glycosylated hemoglobin A1c and the extent of coronary lesions in patients with coronary heart diseaseFAN Quan, GUO WenYi, JIA GuoLiang
Department of Cardiovasology,Xijing Hospital,Fourth Military Medical University, Xian 710033, China
【Abstract】 AIM: To explore the correlation between the level of glycosylated hemoglobin A1c (HbA1c) and the extent of coronary lesions in coronary heart disease (CHD). METHODS: Ninetyseven CHD patients were included in the study: simple CHD group (n=32), CHD accompanied with impaired glucose tolerance (IGT) group (n=31) and CHD accompanied with type 2 diabetes mellitus (T2DM) group (n=34).The levels of HbA1c of all the patients were analyzed by radio immunoassay. All the patients underwent coronary angiography and the extent of coronary lesions was analyzed by total amount of coronary narrow degree integral. ERSULTS: The levels of HbA1c and coronary artery narrow degree in CHD accompanied with T2DM group were significantly higher than those of simple CHD group and CHD accompanied with IGT group (P<0.05);those of CHD accompanied with IGT group were significantly higher than those of simple CHD group (P<0.05);correlation analysis showed that the level of HbA1c was positively correlated with the coronary artery narrow degree in CHD patients (r=0.6447, P<0.01). CONCLUSION: The level of HbA1c was positively correlated with the coronary artery narrow degree in CHD patients. The higher level of HbA1c was the independent dangerous factor for CHD. ......
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