Resting electrocardiogram ST-T abnormality and stress hyperglycemia ratio are positivelycorrelated with short-term prognosis of acute left heart failure(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2025年第4期
- Page:
- 505-509
- Research Field:
- 医学信号处理与医学仪器
- Publishing date:
Info
- Title:
- Resting electrocardiogram ST-T abnormality and stress hyperglycemia ratio are positivelycorrelated with short-term prognosis of acute left heart failure
- Author(s):
- WANG Gongxu1; CHEN Liang1; LI Linhui2; CHEN Bao3
- 1. Department of Emergency, Affiliated Hospital of Xiangnan University, Chenzhou 423000, China; 2. Department of Cardiology,Affiliated Hospital of Xiangnan University, Chenzhou 423000, China; 3. Affiliated Hospital of Xiangnan University, Chenzhou 423000,China
- Keywords:
- resting electrocardiogram; stress hyperglycemia ratio; acute left heart failure; prognosis; correlation
- PACS:
- R541.6
- DOI:
- 10.3969/j.issn.1005-202X.2025.04.012
- Abstract:
- Objective To investigate the correlations of resting electrocardiogram ST-T abnormality and stress hyperglycemiaratio (SHR) with short-term prognosis of acute left heart failure (ALHF). Methods The clinical data of 125 patients withALHF were analyzed. According to the prognosis within 30 days after onset, the patients were divided into good prognosisgroup (n=59), poor prognosis group (n=42) and death group (n=24). The resting electrocardiogram indications, admissionblood glucose and glycosylated hemoglobin at fasting on the next day were collected, and SHR was calculated for exploringthe correlations of resting electrocardiogram ST-T abnormality and SHR with short-term prognosis of ALHF. Results andconclusion The differences in gender, blood pressure and other general data among 3 groups were trivial (P>0.05), but deathgroup was at an older age as compared with good prognosis group (P<0.05). The resting electrocardiogram ST-T abnormalityrate, QRS wave duration and QTc interval were lower/shorter in good prognosis group than in the other two group (P<0.05),and the above indicators were lower/shorter in poor prognosis group than in death group (P<0.05). Good prognosis group hadthe lowest SHR, followed by poor prognosis group and death group (P<0.05). Multivariate Logistic regression analysisrevealed that ST-T abnormality, prolonged QRS wave duration, prolonged QTc interval and high SHR were independent riskfactors for poor prognosis in ALHF patients (P<0.05). Resting electrocardiogram ST-T abnormality and SHR weresignificantly and positively correlated with ALHF short-term prognosis.
Last Update: 2025-04-30