title: [Predictive value of glycemia in acute coronary syndromes].
abstract: Intravenous insulin therapy is used in diabetic patients at the acute phase of coronary syndrome (ACS). However, hyperglycemia in diabetic patients is a powerful predictive factor for patient outcome as it is associated with a doubling of in-hospital mortality and poor long-term prognosis. Recent studies involving non-diabetic patients show that even mild hyperglycemia in the setting of ACS is also a predictive factor of in-hospital mortality. Moreover, the new entity called impaired fasting glucose (IFG) (6.1 to 7 mmol/L) is not only an independent factor of mortality for coronary patients, but very recently has also been associated with a doubling of the risk of in-hospital mortality in the setting of ACS. Admission as well as follow-up glycaemia are fundamental parameters in ACS on the one hand for their prognostic value, and on the other end as a diagnostic tool in determining the presence of diabetes or IFG.
authors.affiliation: Observatoire des infarctus de la Côte-d'Or, laboratoire de physiopathologie et pharmacologie cardiovasculaires expérimentales, faculté de médecine, Dijon.
authors.forename: G
authors.initials: G
authors.lastname: Rioufol
authors.forename: M
authors.initials: M
authors.lastname: Zeller
authors.forename: A
authors.initials: A
authors.lastname: Oudot
authors.forename: I
authors.initials: I
authors.lastname: L'Huillier
authors.forename: P
authors.initials: P
authors.lastname: Buffet
authors.forename: J C
authors.initials: JC
authors.lastname: Beer
authors.forename: B
authors.initials: B
authors.lastname: Verges
authors.forename: J E
authors.initials: JE
authors.lastname: Wolf
authors.forename: L
authors.initials: L
authors.lastname: Rochette
authors.forename: Y
authors.initials: Y
authors.lastname: Cottin
mesh_terms: D000208:Acute Disease; D000789:Angina, Unstable / Q000097:blood / Q000175:diagnosis*; D001786:Blood Glucose; D006801:Humans; D009203:Myocardial Infarction / Q000097:blood* / Q000175:diagnosis*; D011237:Predictive Value of Tests; D013577:Syndrome
chemical_list: D001786:Blood Glucose