Hyperinsulinaemia is associated with increased long-term mortality following acute myocardial infarction in non-diabetic patients.

Aims: To study the impact of disturbances in glucose metabolism on total mortality in non-diabetic patients with acute myocardial infarction.

Methods And Results: Four hundred and ninety four patients with a verified myocardial infarction and no history of diabetes were studied. The study population comprised a subgroup of patients screened for participation in the Trandolapril Cardiac Evaluation (TRACE) study.