Insulin therapy in acute coronary syndromes: an appraisal of completed and ongoing randomised trials with important clinical end points

Author:

Goyal Abhinav1,Nerenberg Kara2,Gerstein Hertzel C2,Umpierrez Guillermo1,Wilson Peter WF1

Affiliation:

1. Department of Medicine, Emory School of Medicine, Atlanta, GA, US.

2. Department of Medicine and the Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.

Abstract

Insulin therapy was first proposed as an adjunctive therapy in patients with acute coronary syndromes (ACS) in the 1960s. Since then, numerous randomised clinical trials have been conducted to determine the efficacy and to define the role of insulin therapy in ACS. This review will discuss: 1) completed trials of insulin therapy in ACS, including both glucose-insulin-potassium (GIK) approaches and non-GIK approaches; 2) trials of insulin therapy in critically ill non-ACS patients and the lessons from these trials that can be applied to trials of insulin in ACS patients; and 3) a summary of ongoing and planned trials of insulin in ACS patients.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,Endocrinology, Diabetes and Metabolism,Internal Medicine

Cited by 7 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Hyperglycemia in acute coronary syndromes: from mechanisms to prognostic implications;Therapeutic Advances in Cardiovascular Disease;2015-07-19

2. How to Manage Hyperglycemia in an Acute Coronary Syndrome Patient;Current Treatment Options in Cardiovascular Medicine;2012-10-16

3. Early metabolic modulation—a solution for MI?;Nature Reviews Cardiology;2012-05-22

4. Piloting a Novel Algorithm for Glucose Control in the Coronary Care Unit;Diabetes Care;2011-12-09

5. Current literature in diabetes;Diabetes/Metabolism Research and Reviews;2009-05

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