01-05-2010 | Review article
The effect of insulin on the heart
Part 2: Effects on function during and post myocardial ischaemia
Gepubliceerd in: Netherlands Heart Journal | Uitgave 5/2010
Log in om toegang te krijgenAbstract
Insulin infusion has been advocated in the treatment of myocardial ischaemia and myocardial infarction. There is evidence from experimental animal studies for a protective effect of high-dose insulin administration in myocardial ischaemia and myocardial infarction. In some relatively small study populations a reduction in mortality was reported in those patients who received glucose-insulin-potassium (GIK) during myocardial infarction, which was confirmed in two meta-analyses. However, it has not been possible to reproduce these positive results in large randomised clinical trials. (Neth Heart J 2010;18:255-9.)