血糖状况对P波分散的影响
Niranjan Ragavan1, Rida Thavalam1, Swathy Moorthy1
1Internal Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Cureus
|May 15, 2024
概括
这项研究发现糖尿病患者的禁食血糖和P波分散之间存在很小的相关性. 进一步的研究可能会证实P波分散是糖尿病中心房律乱的早期预测因子.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 糖尿病是一种全球性健康问题,具有重大经济影响.
- 心血管疾病,包括心房动 (AF),在糖尿病人群中很普遍.
- 增加的P波分散 (PWD) 是AF的已知风险因素.
研究的目的:
- 为了研究P波分散 (PWD) 和个体的血糖状况之间的关系.
- 探索PWD作为糖尿病患者中心房动 (AF) 的潜在早期预测因素.
主要方法:
- 对234名参与者进行了一项比较的横截面研究.
- 患者被分为四组:不受控制的DM,2型DM (T2DM),糖尿病前期和对照.
- 用心电图 (ECG) 来计算P波分散 (PWD).
主要成果:
- 在空腹血糖 (FBS) 和PWD (r=0.175) 之间观察到最小的相关性.
- 年龄和PWD之间也发现了最小的相关性 (r=0.161),对年龄的统计学意义 (p=0.014).
- 在PWD中没有观察到统计学上显著的群体间变化 (p=0.104).
结论:
- 随着年龄的增长和更高的FBS,PWD增加的相关性很小.
- 在糖尿病患者中,PWD可能是心房失常症的潜在早期预测因子,因此需要在更大的队列中进一步调查.
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