[Prevalence and prognostic significance of pathological glucose metabolism in acute myocardial infarction].
Individuals with diabetes are at increased risk of developing acute myocardial infarction (AMI) and recent investigations have shown that impaired glucose tolerance (IGT) contributes to a comparable increased risk of AMI. Studies in which oral glucose tolerance test (OGTT) has been used to diagnose IGT/diabetes report a prevalence of unrecognized pathological glucose metabolism in 54-66% of admitted patients. Newly detected diabetes by OGTT, but not IGT, also correlates strongly with prognosis after AMI even after adjusting for traditional risk factors.
Egstrup
Michael
M
Sygehus Fyn Svendborg/Nyborg, Medicinsk afdeling, Medicinsk Forskningsafdeling.
Henriksen
Finn Lund
FL
Høfsten
Dan Eik
DE
Hangaard
Jørgen
J
Egstrup
Kenneth
K
D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000150:complications* / Q000175:diagnosis; D018149:Glucose Intolerance / Q000097:blood / Q000150:complications* / Q000175:diagnosis; D005951:Glucose Tolerance Test; D006801:Humans; D009203:Myocardial Infarction / Q000097:blood / Q000209:etiology* / Q000401:mortality; D015995:Prevalence; D011379:Prognosis; D012307:Risk Factors