Reviews in Cardiovascular Medicine (RCM) is published by IMR Press from Volume 19 Issue 1 (2018). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with MedReviews, LLC.
Cite this article
Diabetes, Hypertension, and Renal Insufficiency in Post-Myocardial Infarction Cardiovascular Risk
1 Division of Cardiovascular Medicine, Davis Heart & Lung Research Institute, The Ohio State University, Columbus, OH
Rev. Cardiovasc. Med. 2003, 4(S3), 30–36;
Published: 20 May 2003
The prognosis for patients who suffer myocardial infarctions (MIs) is poor, with 22% of male and 46% of female survivors being disabled by heart failure within 6 years. Many well-established risk factors for increased morbidity and mortality post-MI are closely linked to the metabolic syndrome and associated with over-activation of the renin-angiotensin-aldosterone and sympathetic nervous systems. Results from numerous large-scale clinical endpoint trials have shown that blocking the deleterious effects of these systems with either an angiotensin-converting enzyme inhibitor or a β-adrenoceptor antagonist significantly reduces the risk of mortality and cardiovascular events in post-MI patients. Results from 1 recent study of the β-blocker, carvedilol, have shown further that these benefits extend to high-risk patients with either diabetes or hypertension.