International Journal of Health and Clinical Research

Yazarlar: Preeti Kori, Sohan Singh Mandloi, Prachi Kori, Jyoti Nagvanshi, Vikas Rangare

Konular:-

Anahtar Kelimeler:Myocardial infarction,Serum sodium,Heart failure

Özet: Aim: To analyse serum sodium in acute myocardial infarction and to observe its correlation with complications of myocardial infarction. Methodology: Study was conducted on 50 cases of acute myocardial infarction. Clinical examination, ECG examination, serum sodium and potassium estimation were performed on admission, then after 12, 24 and 48 hrs of cases of acute myocardial infarction. Results: Acute myocardial infarction was associated with modifiable risk factors like tobacco addiction, dyslipidemia, diabetes mellitus and hypertension. Acute anterior wall myocardial infarction was more commonly associated with hyperglycemia at admission and with poor prognosis (p <0.05). Serum sodium level was low in patient with acute myocardial infarction, lower values seen in myocardial infarction associated with heart failure (p <0.05). A positive correlation was observed in serum sodium level and severity of heart failure (p <0.05). Serum sodium level was significantly lower in fatal cases as compared to non-fatal cases (p <0.05). Conclusions It is important to understand that initial level of serum sodium is strongly correlated with cardiovascular complications of myocardial infarction. Hence estimation of serum sodium may help in rapid assessment of complications so that better management could be planned.

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