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Title: Signification of the dynamics changes of ST-segment in ECG in the assessment of myocardial reperfusion effectiveness in acute myocardial infarction with persistent ST-segment elevation patients with co-existing hyperglycaemia
Abstract:
The aim of this study was to evaluate the dynamics of ST-segment changes in ECG in STEMI patients with co-existing hyperglycaemia compared to those with normoglycaemia treated with percutaneous coronary intervention, as well as to determine this parameter in the assessment of reperfusion effectiveness. Additionally, thestudy evaluated the likelihood of developing diabetes in the long-term follow-up of patients with the impaired glucose metabolism diagnosed during hospitalization due to STEMI. In the first stage of the study the population of patients was divided into groups based on reactive hyperglycaemia or HbA1c concentration: a group with Glc ≥ 7.8 mmol/L, n = 46, a group with Glc < 7.8 mmol/L, n = 46, a group with HbA1c levels <6.5%, n = 71and a group with HbA1c levels (≥6.5%, n = 21). In the second stage of the study the analysis covered three patient subgroups divided according to the following scheme: subgroup A = Glc < 7.8 mmol/L and HbA1c ≤ 6.5% (n = 37), subgroup B = Glc ≥ 7.8 mmol/L and HbA1c ≤ 6.5% (n = 27), subgroup C = Glc ≥ 7.8 mmol/L and HbA1c > 6.5% (n = 20). Myocardial reperfusion after primary angioplasty in acute myocardial infarction, which is determined by the degree of resolution of ST elevation in ECG, depends on the state of the glucose metabolism. The dynamics of changes in the ST-segment in ECG, taken immediately after pCI, is lower in patients with ; reactive hyperglycaemia. The group of patients with disturbed glucose metabolism and impaired reperfusion had the worse clinical course. The likelihood of developing diabetes in a long-term follow-up was greater in the subgroup C.
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choroby układu krążenia ; endokrynologia
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Last modified:
Mar 16, 2023
In our library since:
Jun 27, 2017
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15
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http://dl.cm-uj.krakow.pl:8080/publication/4175
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| Edition name | Date |
|---|---|
| ZB-126051 | Mar 16, 2023 |
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