Early revealing of disturbances of the carbohydrate metabolism - the important marker of the long-time prognosis at the myocardial infarction

Actuality. The carbohydrates metabolism disturbances including impaired glucose tolerance (IGT) and diabetes (D) unfavorably influence on early and long-term prognosis of coronary disease patients morbidity and mortality. At the same time after myocardial infarction (MI) some patients have undiagnosed disturbances of carbohydrates metabolism; for their evaluation active tactics needed, i.e. oral glucose tolerance test (OGTT). Material and Methods. 125 MI patients without history of known carbohydrates metabolism disturbances were included in the investigation. Glycemia and insulin level postprandial and on empty stomach was defined. Glucose tolerance by PTGT was determined on the 8-4 days of MI. Results. More than half of MI patients have carbohydrates metabolism disturbances, their evaluation are possible only by OGTT use. IGT exposure during the hospital period of MI associates with the unfavorable year prognosis. Conclusion. The possibility of early assay of glucose tolerance in MI patients is very significant for the choice of approach to the revealed disturbances correction and optimal treatment of these patients for their prognosis improvement.