Does hyperglycaemia precede the clinical onset of myocardial ischaemia?☆

Received 2 August 2004; received in revised form 21 January 2005; accepted 3 February 2005.

Abstract

Stress hyperglycaemia has been observed previously in a large proportion of patients with acute myocardial infarction. We report a patient who presented to our intensive care unit (ICU) on two occasions with acute hyperglycaemia preceding new onset myocardial ischaemia by several hours.

Keywords: Acute coronary syndrome, Myocardial infarction, Hyperglycaemia, Insulin, Intensive insulin therapy

a Department of Anaesthesia and Critical Care, Royal United Hospital, Combe Park, Bath BA1 3NG, UK

b Consultant in Anaesthesia and Intensive Care Medicine, Royal United Hospital, Bath, UK

Corresponding author. Tel.: +44 1225 825057; fax: +44 1225 825061.

☆ A Spanish translated version of the Abstract and Keywords of this article appears as Appendix at 10.1016/j.resuscitation.2005.02.005.

PII: S0300-9572(05)00122-X

doi:10.1016/j.resuscitation.2005.02.005

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