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Glycometabolic status and acute myocardial infarction: has the time come for glucose‐insulin‐(potassium) therapy?
Author(s) -
Wong V.,
Cheung N. W.,
Boyages S. C.
Publication year - 2003
Publication title -
internal medicine journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 1444-0903
DOI - 10.1046/j.1445-5994.2003.00449.x
Subject(s) - medicine , insulin , myocardial infarction , intensive care medicine , reperfusion therapy , clinical trial , cardiology
Glucose‐insulin‐potassium infusion as a metabolic therapy was first advocated for the management of acute myocardial infarction (AMI) in 1960s. Over the subsequent decades, enthusiasm for its use has been patchy, especially with the availability of other effective treatments such as reperfusion therapy for AMI. Several clinical studies in the mid‐1990s revived the interest in the glycometabolic aspects of patients with AMI. The somewhat conflicting results of these recent studies have generated debate over the significance of the glycometabolic state following acute coronary occlusion and the role of insulin‐based infusion therapy. Although most of the available evidence is in favour of an insulin‐based therapy, there are still many aspects of this therapy that require clarification. More evidence will be required from further clinical trials before it is adopted in routine clinical practice. (Intern Med J 2003; 33: 443−449)