According to a the results of observational studies showed that patients with advanced heart failure the risk of diabetes increased significantly, in the diagnosis of heart failure more than 6 years after the attack began.
City, Tel-Hashomer Israel Chaim Sheba Medical Center, Dr. Alexander Tenenbaum and his colleagues noted: "Recent reports suggest that heart failure patients with reduced cardiac function may lead to abnormal glucose metabolism."
2616 cases of their past suffering from unstable angina or myocardial infarction 7.7 years of non-diabetic status of the patient's cardiac function and the relationship between the onset of diabetes were studied. Of these patients participated in the 18 university hospitals Bezafibrate Infarction Prevention Study.
Research published in March in the "American Journal of Medicine" article pointed out that patients aged 45 and 74 years of age, fasting blood glucose level was lower than 7mmol / L, in accordance with New York Heart Association (NYHA) classification standards are divided into grade Ⅰ 1986 cases, Ⅱ grade 518 cases and 112 cases of grade Ⅲ. Three groups of patients with similar demographic and clinical characteristics.
They found that, Ⅰ and Ⅱ grade level patients were 13% and 15% of diabetes in the follow-up period, while patients in grade Ⅲ and 20% of diabetes (p = 0.05).
They wrote: "fasting blood glucose levels significantly increased (more than 1 mmol / L, the last time and compared to the first treatment) was particularly prevalent in patients with advanced heart failure." Ⅲ level of patients treated in the last big when fasting blood glucose in the same 7mmol / L or the possibility of grade Ⅱ Ⅰ patients 2 times (p = 0.005).
Multivariate analysis showed that, NYHA Ⅲ level independent indicates the occurrence of diabetes (HR = 1.7), but did not grade Ⅱ this effect (HR = 1.0).
Dr. Tenenbaum's research team pointed out that "despite the failure of known diabetes is an independent risk factor, but there is only one of the cases in the elderly congestive heart failure and subsequent studies have shown the occurrence of diabetes-related, our results support the report."
