Intensive insulin therapy in the intensive cardiac care unit.
Treatment in the intensive cardiac care unit (ICCU) enables rigorous control of vital parameters such as heart rate, blood pressure, body temperature, oxygen saturation, serum electrolyte levels, urine output and many others. The importance of controlling the metabolic status of the acute cardiac patient and specifically the level of serum glucose was recently put in focus but is still underscored. This review aims to explain the rationale for providing intensive control of serum glucose levels in the ICCU, especially using intensive insulin therapy and summarizes the available clinical evidence suggesting its effectiveness.
Hasin
Tal
T
Department of Cardiology, Rambam Health Care Campus, Haifa, Israel.
Eldor
Roy
R
Hammerman
Haim
H
D002318:Cardiovascular Diseases / Q000209:etiology; D003422:Critical Care; D016638:Critical Illness; D006801:Humans; D006943:Hyperglycemia / Q000150:complications / Q000188:drug therapy*; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D007328:Insulin / Q000627:therapeutic use*; D007362:Intensive Care Units
D007004:Hypoglycemic Agents; D007328:Insulin