| Objective : "The Euro Heart Survey on diabetes and the heart" in 2004 and "The China Heart Survey" in 2006 shows that nearly 80% patients with coronary heart disease have abnormal glucose regulation, if only detecting the fasting blood glucose, but also will be missed 80% of abnormal glucose regulation. Only the OGTT can actually clear the glucose regulation in patients with coronary heart disease. Therefore, OGTT is an important means to early detect the abnormal glucose regulation of patients with coronary heart disease. Abnormal glucose regulation is closely related to the severity of coronary heart disease and the outcome of patients with it. Therefore it is very important to reduce the recurrent cardiovascular events and improve the patients'prognosis, that physicians do the normative blood glucose management and timely detect and treat the diabetes to patients of coronary heart disease. So, to strengthen the management of blood glucose in patients with coronary heart disease as a physician can not shirk responsibility. To this end, we have established a cooperative group of blood glucose management in patients with coronary heart disease and develop our country's expert consensus of blood glucose management in patients with coronary heart disease. However, it is not clear the situation of blood glucose management in patients with coronary heart disease in hospital. This study aimed to investigate the influence of the understanding and implementation of physicians to the blood glucose management in patients with coronary heart disease after the "The Euro Heart Survey on diabetes and the heart " and "The China Heart Survey" published. Meanwhile, the 200 cardiac physicians conducted a questionnaire survey to learn about the actual situation of its understanding about the blood glucose management in patients with coronary heart disease. Methods:, Selected from Hebei province, Shanxi province and Tianjin city etc, 10 3 A-level hospitals used as cooperative center. It conduct retrospective random spot check to select 2351 patients diagnosed the coronary heart disease from this 10 hospitals in 2003, 2005 and 2008. Abnormal glucose regulation diagnosed according to 1999 WHO diagnostic Standard. Removing conditions are thyroid, liver, kidney disease, chronic wasting disease and malignant tumor. It retrospectively analyze the blood glucose detecting situation during hospitalization, including fasting blood glucose detection, 2h postprandial plasma glucose detection and OGTT detection, diagnosis of abnormal glucose regulation, as well as the situation that acute coronary syndrome patients complicated with diabetes treat with insulin. And it surveys 200 physicians with questionnaire to learn about their understanding on blood glucose management in patients with coronary heart disease.Statistical analysis: Measurement date is expressed by x±s. It applies of homogeneity of variance between the two groups test. It applies of t test to compare between the mean of the tow groups. Enumeration date is expressed by percentage. It applies of chi-square test to compare between the percentage of two groups. There are statistical significance at p<0.05. All the statistical analysis are done on the software SPSS16.0.Results: Fasting blood glucose detection in patients with coronary heart disease: fasting blood glucose detection rates respectively were 73.8%, 79.9% and 90.7% in 2003, 2005 and 2008. Including its in diabetic patients respectively were 95.9%, 90.6% and 98.1%. And its in non-diabetic patients respectively were 68.5%, 76.7% and 84.3%. Fasting blood glucose detection rate markedly improved in 2008, but non-diabetic patients are still far apart. Postprandial blood glucose detection in patients with coronary heart disease: 2-hour postprandial blood glucose detection rates respectively were22.6%, 21.7% and 59.9% in 2003, 2005 and 2008. Including its in diabetic patients respectively were 57.6%, 51.3% and 97.3%. And its in non-diabetic patients respectively were 12.9%, 12.7% and 25.9%. It is not enough emphasis on postprandial blood glucose detection in patients with coronary heart disease. OGTT detection in non-diabetic patients with coronary heart disease: OGTT detection rate respectively was 5%, 6.7% and 6.3% in 2003, 2005 and 2008. Abnormal glucose regulation diagnostic rates in non-diabetic patients respectively were 21.3%, 22.3% and 55.6% in 2003, 2005 and 2008. Blood glucose detection rate in 2008 has increased, so the diagnostic rate of abnormal glucose regulation has increased, but the gap is still significant. In addition, treatment rates with insulin in acute coronary syndrome patients complicated with diabetes respectively were 25%, 23.2% and 57.1% in 2003, 2005 and 2008,the percentage increase in 2008.Through the questionnaire survey, the awareness rate of "The Euro Heart Survey on diabetes and the heart " was 85.7% and it of "The China Heart Survey" was 75.6%. 70.8% cardiovascular physicians understand the OGTT detection method. 89.4% cardiovascular physicians know that the standard abnormal glucose regulation. The reasons not to conventionally detect OGTT: it accounted for 32.8% that has detected fasting blood glucose and 2h postprandial plasma glucose are no need to detect;it accounted for 21.8% that can not tolerate the examination, worried about angina attack;it accounted for 27.7% for economic reasons ; others accounted for 17.7%. 55.5% cardiovascular physicians think that the right time of OGTT in patients with acute coronary syndrome is a stable condition.Conclusions:In recent years, cardiovascular physicians increased the awareness of blood glucose management in patients with coronary heart disease, especially cardiovascular physicians had a greater impact after the "The China Heart Survey" was published. However, the study also showed that there is a great gap of blood glucose management of cardiovascular physicians to patients with coronary heart disease. 200 cardiovascular physicians'survey shows that the awareness is not enough for blood glucose management of many cardiovascular physicians to patients with coronary heart disease. It reflects in that the many physicians are not aware of on the results of "The Euro Heart Survey on diabetes and the heart" and "The China Heart Survey", that they do not understand the OGTT test methods, even that they do not know the standard of abnormal glucose regulation. Therefore, it is essential that the cardiovascular physicians further strengthen blood glucose management for patients with coronary heart disease.
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