Hyperglycemia and prognosis of acute myocardial infarction in patients without diabetes mellitus

Effect of Stress Hyperglycemia in Acute St Segment Elevation Myocardial Infarction

“…The study showed that the incidence of heart failure and cardiogenic shock were more in patients with stress hyperglycemia and this is consistent with Bellodi G. et al (33), which showed that, hyperglycemia with acute myocardial infarction is associated with increased risk of heart failure and cardiogenic shock.…”

Admission Glucose and Mortality in Elderly Patients Hospitalized With Acute Myocardial Infarction

“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] On the basis of these reports and similar findings in patients with critical illness, 21 the association between glucose levels and adverse outcomes has been a focus of growing attention from expert groups and professional societies. 22,23 However, although recommendations are being developed for strict glucose management in all hospitalized patients, 22,23 glucose measurement is not included in AMI risk indexes, 24 -27 and current AMI guidelines do not suggest specific therapeutic targets for glucose control.…”

Cardioprotective Effects of Insulin

“…38 In humans, hyperglycemia has been identified as an independent risk factor for ischemic heart disease and correlates with poor prognosis after acute myocardial infarction. 1,39 Perioperative hyperglycemia has also been associated with increased mortality and morbidity in pediatric and adult patients undergoing cardiac surgery. 18,19 Hyperglycemia may have a prothrombotic effect that augments inflammation.…”

“…[1][2][3] More recently, instigated by research findings on stress hyperglycemia in critical illness, this interest has been extended to the influence of insulin on clinical outcome after cardiac surgery.…”