Peculiarities of treatment of acute myocardial infarction and diagnostic issues in patients with diabetes mellitus

Česká verzia

Authors: J. Špác
Authors place of work: II. interní klinika LF MU a FN u sv. Anny, Brno
Published in the journal: Kardiol Rev Int Med 2007, 9(4): 230-235
Category: Editorial

Summary

Glucose tolerance disorders pose a considerable risk of heart ischemia due to pathophysiological disorders induced by hyperglycaemia, and provoke changes affecting haemostatic, vascular and myocardial functions. Hyperglycaemia in patients with acute myocardial infarction is an adverse sign for outcome and has a negative prognostic impact. The administration of insulin with glucose in the course of acute myocardial infarction (AIM) – unless it results in decreased glycaemia – cannot improve the prognosis of the patient, and relative hyperglycaemia associated with the risk of excessive hydration of the patient induced by such treatment may in some cases have a negative impact on treatment results.

Keywords:
acute myocardial infarction – diabetes mellitus

Zdroje

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