title: [Diabetes and acute coronary syndromes: a practical approach].
abstract: Type 2 diabetes is currently recognized as an important risk factor for cardiovascular morbidity and mortality, particularly in patients admitted with acute coronary syndromes (ACS). The aim of this paper is to characterize, in a systematic way, how to approach diabetes and ACS, regarding prognosis, risk stratification and short and long-term prognosis, therefore contributing to improve good clinical practices regarding diabetes and ACS. Diabetes is an important cardiovascular risk factor, being diabetics an important ACS subpopulation. A comprehensive diabetes and ACS management, including early and complete revascularization, systematic OGTT performance in patients lacking a previous diagnosis of diabetes and a particular focus on identifying and decreasing comorbidities and risk factors, as well as in optimizing antidiabetic, antithrombotic and anti-ischemic medication, using cardiac rehabilitation and the multidisciplinary promotion of therapeutic compliance and healthy lifestyles are key factors in a successful strategy to optimize prognosis of ACS in diabetics.
authors.affiliation: Faculdade de Medicina, Universidade de Coimbra, Coimbra, Portugal. pedromontei@gmail.com
authors.forename: Pedro
authors.initials: P
authors.lastname: Monteiro
authors.forename: Sílvia
authors.initials: S
authors.lastname: Monteiro
authors.forename: Francisco
authors.initials: F
authors.lastname: Gonçalves
authors.forename: Mariano
authors.initials: M
authors.lastname: Pêgo
mesh_terms: D054058:Acute Coronary Syndrome / Q000150:complications* / Q000628:therapy; D003920:Diabetes Mellitus / Q000628:therapy; D003925:Diabetic Angiopathies / Q000628:therapy; D006801:Humans; D007328:Insulin / Q000627:therapeutic use
chemical_list: D007328:Insulin