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Optimização do Controlo Glicémico no Contexto de EAM: Estado da Arte e Proposta de um Protocolo de Insulinoterapia Intensiva

2009Journal article Open access
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dc.contributor.authorMonteiro, S
dc.contributor.authorMonteiro, P
dc.contributor.authorProvidência, LA
dc.date.accessioned2009-09-01T10:16:06Z
dc.date.available2009-09-01T10:16:06Z
dc.date.issued2009
dc.description.abstractHyperglycemia in the acute phase of myocardial infarction (MI) is a marker of worse short- and long-term prognosis, in both diabetic and non-diabetic patients. Aggressive control of glycemia is recognized in the literature as an important therapeutic target, being associated with a better clinical outcome in this subset of patients. This means that a new approach should be adopted in patients admitted to coronary care units due to MI, control of glucose metabolism being pivotal in this context. Administering a continuous i.v. insulin infusion at a variable rate is acknowledged to be the best way to achieve rapid and sustained optimized metabolic control. The authors present an original protocol for intensive insulin therapy to be used in coronary care units, in both diabetic and nondiabetic patients admitted due to MI and with admission blood glucose of over 180 mg/dl.pt
dc.identifier.citationRev Port Cardiol. 2009 Jan;28(1):49-61pt
dc.identifier.urihttp://hdl.handle.net/10400.4/644
dc.language.isoporpt
dc.publisherSociedade Portuguesa de Cardiologiapt
dc.rights.uriopenAccessen
dc.subjectEnfarte do Miocárdiopt
dc.subjectInsulinapt
dc.subjectHiperglicémiapt
dc.titleOptimização do Controlo Glicémico no Contexto de EAM: Estado da Arte e Proposta de um Protocolo de Insulinoterapia Intensivapt
dc.title.alternativeOptimization of blood glucose control in MI patients: state of the art and a proposed protocol for intensive insulin therapy.pt
dc.typejournal article
dspace.entity.typePublication
rcaap.typearticlept

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