Comment: This study found that acute myocardial infarction patients had a much worse prognosis if their glucose metabolism was abnormal at a 7 month follow-up visit. This was regardless of whether or not their glucose metabolism was abnormal at hospital discharge. This study suggests that the glucose tolerance test (and likely the HgbA1c) is a strong prognostic factor. Normalizing glucose metabolism early after a myocardial infarction may have significant mortality benefits. Patients with abnormal glucose metabolism at follow-up had a 2.5 year mortality rate of 2 to 4 times that of patients with normal glucose metabolism (3% versus 6% - 11%). Diet and exercise appear to be critical factors to prolong mortality after acute myocardial infarction. Kardiol Pol. 2016 Oct 7 (retrieved Oct, 2016).
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