The Prognostic Value of Hyponatremia and Hypokalemia in Acute Myocardial Infarction Patients
Abstract
Syria is one of the countries with a high risk of ischemic heart disease. It is one of the most causes of morbidity and mortality worldwide. Myocardial infarction does not mean simply occlusion of an epicardial artery. Rather, it is a systemic, metabolic and neurohormonal process that affects and is affected by other systems, including blood ions. In this research, we will study the changes of sodium and potassium in patients with myocardial infarction and their impact in prognosis.
This study included 100 patients. Patients were divided into two groups, a high-risk group and a low-risk group based on the GRACE score, and successive laboratory tests were made for both sodium and potassium from admission to discharge.
We found the incidence of the hyponatremia was 54% and hypokalemia was 64%. We found that early hyponatremia was associated with short-term prognosis (p-value = 0.001), and hyponatremia at discharge was associated with long-term prognosis (p-value = 0.003). We found that early hypokalemia was associated with short-term prognosis
(p-value = 0.001).
We found a significant association between the development of cardiac shock and hyponatremia (p-value = 0.001, OR = 40.1), and significant association between the development of arrhythmias and hypokalemia (p-value = 0.002, OR = 41.9). We also found that the return of values to normal ranges at discharge indicates improvement and response to treatment.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The authors retain the copyright and grant the right to publish in the magazine for the first time with the transfer of the commercial right to Tishreen University Journal for Research and Scientific Studies - Health Sciences Series
Under a CC BY- NC-SA 04 license that allows others to share the work with of the work's authorship and initial publication in this journal. Authors can use a copy of their articles in their scientific activity, and on their scientific websites, provided that the place of publication is indicted in Tishreen University Journal for Research and Scientific Studies - Health Sciences Series . The Readers have the right to send, print and subscribe to the initial version of the article, and the title of Tishreen University Journal for Research and Scientific Studies - Health Sciences Series Publisher
journal uses a CC BY-NC-SA license which mean
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
- The licensor cannot revoke these freedoms as long as you follow the license terms.
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes.
- ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.