Insulin Secretion in Cardiogenic Shock

Insulin and Glucose in Treatment of Cardiogenic Shock

SIR,-Those of us who have worked in Africa when diabetes appeared to be uncommon must congratulate Dr. A. C. B. Wicks and Professor J. J. Jones (31 March, p. 733), who have extended the observations of other doctors' in Salisbury, Rhodesia. They are beginning to elucidate the role of refined carbohydrates as a factor in the pathogenesis of diabetes mellitus. If one wishes to state the degree of...

Insulin and glucose in treatment of cardiogenic shock.

SIR,-Those of us who have worked in Africa when diabetes appeared to be uncommon must congratulate Dr. A. C. B. Wicks and Professor J. J. Jones (31 March, p. 733), who have extended the observations of other doctors' in Salisbury, Rhodesia. They are beginning to elucidate the role of refined carbohydrates as a factor in the pathogenesis of diabetes mellitus. If one wishes to state the degree of...

Cardiogenic shock.

The syndrome of cardiogenic shock (CS) comprises a constellation of symptoms and signs that define a subset of patients with inadequate tissue perfusion secondary to myocardial dysfunction. Careful attention to and rapid identification of patients at risk for the development of CS and those with impending CS by both hospitalists and subspecialists will help to implement the time-sensitive thera...

Cardiogenic Shock

Cardiogenic shock.

Cardiogenic shock is the most common cause of death in patients hospitalized with acute myocardial infarction and is associated with a poor prognosis. More than 75% of cases are due to extensive left ventricular infarction and ventricular failure. Other causes include right ventricular infarction and papillary muscle rupture with acute severe mitral regurgitation. Activation of neurohormonal sy...