What are the implications of diabetes in patients with acute coronary syndromes?
Jacobs et al. (2004) found that diabetes is an independent predictor of mortality in patients with acute coronary syndromes. They found that diabetes was significantly associated with higher in-hospital mortality and that patients with diabetes had a greater risk of experiencing adverse events including cardiogenic shock, recurrent ischemia, and heart failure. Additionally, Franklin et al. (2004) found that diabetes was associated with a higher risk of recurrent ischemic events, recurrent angina, congestive heart failure, and death during long-term follow-up. Furthermore, Awad et al. (2012) found that diabetes was significantly associated with a higher risk of mortality in patients with cardiogenic shock complicating acute coronary syndromes. These studies suggest that diabetes has a significant impact on the prognosis of patients with acute coronary syndromes, especially those who experience cardiogenic shock.  