Does hyperglycaemia precede the clinical onset of myocardial ischaemia?
Stress hyperglycaemia has been observed previously in a large proportion of patients with acute myocardial infarction. We report a patient who presented to our intensive care unit (ICU) on two occasions with acute hyperglycaemia preceding new onset myocardial ischaemia by several hours.
Laver
Stephen R
SR
Department of Anaesthesia and Critical Care, Royal United Hospital, Combe Park, Bath BA1 3NG, UK. stephen.laver@ruh-bath.swest.nhs.uk
Padkin
Andrew
A
D000368:Aged; D015415:Biomarkers / Q000097:blood; D001774:Blood Chemical Analysis; D001786:Blood Glucose / Q000032:analysis*; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology; D004562:Electrocardiography; D004636:Emergency Service, Hospital; D006801:Humans; D006943:Hyperglycemia / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy*; D007328:Insulin / Q000627:therapeutic use*; D008297:Male; D017202:Myocardial Ischemia / Q000175:diagnosis* / Q000628:therapy; D011379:Prognosis; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D013312:Stress, Physiological; D016896:Treatment Outcome
D015415:Biomarkers; D001786:Blood Glucose; D007328:Insulin