[Prevalence and prognostic significance of pathological glucose metabolism in acute myocardial infarction].

Individuals with diabetes are at increased risk of developing acute myocardial infarction (AMI) and recent investigations have shown that impaired glucose tolerance (IGT) contributes to a comparable increased risk of AMI. Studies in which oral glucose tolerance test (OGTT) has been used to diagnose IGT/diabetes report a prevalence of unrecognized pathological glucose metabolism in 54-66% of admitted patients. Newly detected diabetes by OGTT, but not IGT, also correlates strongly with prognosis after AMI even after adjusting for traditional risk factors.