[Diagnosis of acute myocardial infarction in diabetes mellitus. Blood sugar to be tested].
Rapid and accurate establishment of the clinical symptoms and the initiation of appropriate treatment are essential prerequisites for starting therapeutic measures capable of improving the prognosis of diabetics suffering an acute myocardial infarction. Early diagnostic measures in suspected myocardial infarction include laboratory investigations such as myocardium-specific enzymes, blood glucose and, where indicated, HbA1c and hsCRP, as also an ECG, echocardiography, and possibly scintigraphy to investigate further potential risks. In diabetics with an acute coronary syndrome, early coronary angiography should also be considered. A multifactorial approach can significantly lower the cardiovascular complication rate.
Schnell
O
O
Institut für Diabetesforschung, Krankenhaus München-Schwabing. Oliver.Schnell@lrz.uni-muenchen.de
Otter
W
W
D000789:Angina, Unstable / Q000175:diagnosis; D001786:Blood Glucose / Q000032:analysis; D004796:Clinical Enzyme Tests; D017023:Coronary Angiography; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000097:blood / Q000175:diagnosis; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006442:Glycated Hemoglobin / Q000032:analysis; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000401:mortality; D011379:Prognosis; D011877:Radionuclide Imaging; D012307:Risk Factors; D013577:Syndrome; D013997:Time Factors
D001786:Blood Glucose; D006442:Glycated Hemoglobin