The benefits of insulin therapy following acute myocardial infarction revisited |
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| Authors: | Soran H Barzangy B Younis N |
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| Affiliation: | Specialist Registrar in Endocrinology and Diabetes, Department of Diabetes & Endocrinology, South Manchester University Hospital, Manchester. hsoran@aol.com |
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| Abstract: | | Introduction | The increased mortality and morbidity from cardiovascular diseaseassociated with diabetes mellitus (DM) is well known.1 Patientswith DM but no previous myocardial infarction (MI) have a riskof MI similar to that of non-diabetic patients with a previoushistory of MI,1 and mortality from acute MI in patients withDM is double that in non-diabetic individuals.2,3 Five-yearmortality in patients with DM hospitalized with MI is 75%:3higher than that for many malignant diseases. In spite of moreaggressive and interventional therapies for MI, mortality remainssignificantly higher in patients with DM, compared with thosewithout.4 There
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