This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Baynes, K. C. Articles by Feher, M. D Search for Related Content Social Bookmarking                         What's this?

Prevalence and management of hyperglycaemia in patients given thrombolysis for acute coronary syndromes

Beta Cell Diabetes Centre, Chelsea & Westminster Hospital, London, SW10 9NH, UK, kevin.baynes{at}gstt.sthames.nhs.uk

Colin Mcintosh

Beta Cell Diabetes Centre, Chelsea & Westminster Hospital, London, SW10 9NH, UK

Michael D Feher

Beta Cell Diabetes Centre, Chelsea & Westminster Hospital, London, SW10 9NH, UK

The prevalence of hyperglycaemia in patients given thrombolysis for suspected acute myocardial infarction has not been clearly established. This is a retrospective case-note study of 69 consecutive patients who received thrombolysis on admission to a coronary care unit over a 15-month period. Admission plasma glucose > 7.8 mmol/L was observed in 46%, whilst a random glucose > 11.0 mmol/L was recorded in 22% of the group. A history of type 2 diabetes was present in 19%; with a glucose > 11.0 mmol/L being recorded in 61% on admission. Intravenous insulin therapy was administered to 43% of those without a history of diabetes, but presentation hyperglycaemia in the diabetic range, whereas 88% of known diabetic patients were treated with insulin.

Hyperglycaemia/glucose intolerance, although commonly observed in patients thrombolysed for acute myocardial infarction, is not always managed with insulin therapy. There is a need for clear diabetes management protocols for all teams managing patients in coronary care units.

Key Words: acute coronary syndrome • diabetes mellitus • insulin therapy.

The British Journal of Diabetes & Vascular Disease, Vol. 3, No. 5, 346-348 (2003)
DOI: 10.1177/14746514030030050601


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				M W Savage, P M Mah, A P Weetman, and J Newell-Price Endocrine emergencies Postgrad. Med. J., September 1, 2004; 80(947): 506 - 515. [Abstract] [Full Text] [PDF]