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Review
. 2012 Apr;343(4):321-6.
doi: 10.1097/MAJ.0b013e31822fb423.

Hyperglycemia in nondiabetic patients presenting with acute myocardial infarction

Binita Shah  1 , Nicholas S Amoroso, Steven P Sedlis
Affiliations
Review

Hyperglycemia in nondiabetic patients presenting with acute myocardial infarction

Binita Shah et al. Am J Med Sci. 2012 Apr.

Abstract

Hyperglycemia is common in nondiabetic patients with acute myocardial infarction (AMI). Elevated blood glucose level may reflect a response to stress, an underlying abnormal glucometabolic state or both. Regardless of mechanism, hyperglycemia complicating AMI is associated with an inflammatory and prothrombotic state, depressed myocardial contractility and increased short- and long-term mortality. Studies are needed to define optimal monitoring and management of hyperglycemia in nondiabetic patients with AMI.

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