在患有高血压紧急情况的患者中非ST升高心肌梗塞
G Thiruvikrama Prakash1, Prafull Dhewle2, Subash Chandra Bose3
1Department of Cardiology, E. S. Hospital, Villupuram, IND.
Cureus
|August 5, 2024
概括
非ST升高心肌梗塞 (NSTEMI) 患者的高血压紧急情况与年龄,吸烟和酒精等危险因素有关. 糖尿病在这些心血管风险较高的人群中显著影响冠状动脉疾病.
科学领域:
- 心脏病学 心脏病学
- 糖尿病学 糖尿病学
- 高血压研究 高血压研究
背景情况:
- 高血压紧急情况是关键的心血管事件.
- 非ST升高心肌梗塞 (NSTEMI) 患者的高血压率高于STEMI.
- 有限的研究存在于NSTEMI患者经历高血压紧急情况,特别是关于糖尿病的影响.
研究的目的:
- 为了研究冠状动脉疾病的个人资料在NSTEMI患者高血压紧急情况.
- 确定糖尿病对该群体高血压紧急情况的发展的影响.
主要方法:
- 在24个月内对100名患有高血压紧急情况的NSTEMI患者进行了一项研究.
- 患者被分为糖尿病患者和非糖尿病患者的子组,并记录了基线特征,冠状动脉和血管图.
- 统计分析包括千平方和t测试 (P <0.05显著性).
主要成果:
- 呈现的平均年龄为58岁;48%的患者患有糖尿病.
- 糖尿病患者表现出更多的单血管疾病 (37.5%),而非糖尿病患者表现出更多的双血管疾病 (28.8%).
- 饮酒 (28%) 和吸烟 (23%) 已被注意到; 62.6%使用组合药物,46.9%是不坚持.
结论:
- 年龄,吸烟,饮酒和不服药与NSTEMI中的高血压紧急情况有关.
- 糖尿病与NSTEMI和高血压紧急情况患者的冠状动脉解剖不良显著相关.
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