OPPORTUNITIES FOR USING SPECIAL CURATIVE NUTRITION IN THE MANAGEMENT OF HYPERGLYCEMIA IN ACUTE MYOCARDIAL INFARCTION

Abstract

Cardiovascular disease continues to be the major mortality cause worldwide. In recent years there increasingly frequently published the controversial reports on adverse effects of hyperglycemia on the course and outcome of various acute conditions. However, many researchers consider developing hyperglycemia metabolic disorders as an additional risk factor for unfavorable course of acute myocardial infarction, which increases the frequency of complications, duration of the patients’ hospital stay and mortality. Currently the emergency medicine turned on the wide use of the special enteral nutritional cocktails like “Diabetes” to manage different types of hyperglycemia under various acute disorders. Under the conditions of resuscitation and intensive care unit (RICU) there looked into the possibility and efficacy of early monitoring of the hyperglycemia target values using the special enteral nutritional cocktails with the MI patients. The study included 60 patients, while 30 (the treatment group) thereof were on the enteral nutritional cocktails like “Diabetes” as the only nutrient source in the acute period of the disease. The duration of stay in resuscitation and intensive care unit and duration of the general hospital stay, the demand for insulin therapy as well as mortality due to MI complications turned out to be lower with the patients of the treatment group compared to the reference group of patients.

Keywords

• diabetes
• myocardial infarction
• insulin therapy
• nutritional therapy