Perioperative glycemic control in patients undergoing cardiac surgery

Dariusz Bednarski; Łukasz Krzych

doi:10.5114/kitp.2025.148548

eISSN: 1897-4252
ISSN: 1731-5530

Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery

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abstract:

Review paper

Perioperative glycemic control in patients undergoing cardiac surgery

Dariusz Bednarski

¹

,

Łukasz J. Krzych

^{2, 3}

Department of Anesthesiology and Intensive Care, School of Medicine, Medical University of Silesia, Katowice, Poland
Department of Cardiac Anesthesiology and Intensive Care, Silesian Center for Heart Diseases, Zabrze, Poland
Department of Acute Medicine, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Poland

Kardiochirurgia i Torakochirurgia Polska 2025; 22 (1): 44-52

DOI: https://doi.org/10.5114/kitp.2025.148548

Online publish date: 2025/03/17

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Diabetes mellitus (DM) is one of the most common chronic diseases, affecting globally about 537 million adults. Cardiovascular disease remains the leading cause of death and medical emergencies in the DM patient population. As a result, about 40% of patients with DM undergo cardiac surgery, mainly in the coronary arteries. Uncontrolled hyperglycemia, especially the prolonged condition, is an independent factor in postoperative mortality and the cause of many serious complications, such as surgical wound infection, sepsis, renal failure or cerebral or cardiovascular incidents. Adequate glycemic control in the perioperative period is the most important way to prevent the above complications. The issue has remained an important topic of many observational and experimental studies for years. This paper summarizes the current knowledge with regard to strategies of hyperglycemic control in patients undergoing cardiac surgery.

keywords:

Perioperative glycemic control in patients undergoing cardiac surgery

Dariusz Bednarski 1 , Łukasz J. Krzych 2, 3

diabetes, glycemia, insulin therapy, perioperative medicine, cardiac surgery

Dariusz Bednarski

¹

,

Łukasz J. Krzych

^{2, 3}