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Reviews in Cardiovascular Medicine  2012, Vol. 13 Issue (2-3): 77-88     DOI: 10.3909/ricm0615
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Management of Blood Glucose in Patients With Acute Coronary Syndromes
Kasia J. Lipska1, Mikhail Kosiborod2
1 Yale University School of Medicine, New Haven, CT
2 Mid America Heart Institute of Saint Luke's Hospital, University of Missouri, Kansas City, MO
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Abstract:
Hyperglycemia during admission for acute myocardial infarction (MI) is common and associated with poor outcomes. Prior studies employed two distinct approaches to improve outcomes in patients with acute MI—one focused on glucose control, and the other on provision of glucose, insulin, and potassium. However, despite multiple large-scale studies, the benefits of glucose lowering in the setting of acute MI remain unclear. This article reviews data from observational studies and clinical trials and synthesizes this information into practical recommendations based on available evidence.
Key words:  Hyperglycemia      Acute myocardial infarction      Acute coronary syndromes      Diabetes mellitus      Glucose-insulin-potassium     
Published:  30 June 2012     

Cite this article: 

Kasia J. Lipska, Mikhail Kosiborod. Management of Blood Glucose in Patients With Acute Coronary Syndromes. Reviews in Cardiovascular Medicine, 2012, 13(2-3): 77-88.

URL: 

https://rcm.imrpress.com/EN/10.3909/ricm0615     OR     https://rcm.imrpress.com/EN/Y2012/V13/I2-3/77

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