Glucose is the molecule of life  ,burnt every second inside the body at the energy store house called mitochondria. Heart , the most active organ in the body gets bulk  of it’s energy supply  from fatty acids, glucose and a little from keto acids. Under anerobic conditions this energy substrates shifts towards glucose .
                            We are  rarely inclined to think that heart can ever suffer from hypoglycemia ! But hypoglycemia can have distinct direct and indirect effects on heart. In fact indirect effects due to activation of adrenergic activation is more obvious.An episode of hypoglycemia can precipitate an arrhythmia . Glucose potassium insulin infusion
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Final message
Hypoglycemia , can be a trigger of ACS .This aspect is poorly recognised and studied.
Dr.S.Venkatesan MD 
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