Plasma Glucose at Hospital Admission and Previous Metabolic Control Determine Myocardial Infarct Size and Survival in Patients With and Without Type 2 Diabetes: The Langendreer Myocardial Infarction and Blood Glucose in Diabetic Patients Assessment (LAMBDA)

Hyperglycemia at the time of hospital admission has been associated with shorter survival after acute myocardial infarction in patients with and without diabetes. It is not fully understood whether this is due to the acute development of stress hyperglycemia or to the quality of long-term metabolic control before the event. Here, Meier et al use Langendreer Myocardial Infarction and Blood Glucose in Diabetic Patients Assessment database to investigate the influence of acute and long-term glycemic control on the size of myocardial necroses and prospective long-term survival after 3.5 years and up.