Diabetes and myocardial infarction: revisiting the conundrum!

A. Pradhan, R. Sethi
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Abstract

Establishment of prompt reperfusion of infarct related artery remains the goal in STEMI management. ST segment resolution is rapid and inexpensive tool to assess efficacy of reperfusion therapy in STEMI at bedside.7 Various studies have also documented the poor prognosis associated with non resolution of ST segment following thrombolysis.8,9 Thrombolytic therapy fails to achieve effective reperfusion in diabetic subset even in a setting of early presentation.10
糖尿病和心肌梗死:重新审视这个难题!
建立梗死相关动脉的及时再灌注仍然是STEMI治疗的目标。ST段分辨率是评估床边STEMI再灌注治疗疗效的快速且廉价的工具各种研究也证实了溶栓后ST段不溶解与预后不良相关。即使在早期出现的糖尿病亚群中,溶栓治疗也不能实现有效的再灌注
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