Electrolyte Imbalance in Patients of Acute Myocardial Infarction: A Study from Central India

Rathore, Vedika

doi:10.18535/jmscr/v6i5.117

Cited by 2 publications

(3 citation statements)

References 10 publications

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“…2,34 Electrolyte imbalance is often associated with high mortality among hospitalized patients with AMI. 9,35 There is a lack of data about such issues in Palestine, especially among patients with AMI. One study conducted in 2012 to assess the relationship of serum potassium levels found that hyper-or hypokalemia is asso-ciated with mortality among patients with AMI.…”

Section: Discussionmentioning

confidence: 99%

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Electrolyte Imbalance Among Patients With and With No ST-Elevation Myocardial Infarction

Dreidi

Asmar

Jaghama

et al. 2023

Critical Care Nursing Quarterly

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Electrolytes imbalances are highly prevalent and have shown a high impact on mortality in patients with acute myocardial infarction. These electrolytes imbalance have prognostic value in predicting mortality in patients with acute myocardial infarction. The purpose of this study was to assess the prognostic value of electrolyte imbalances in predicting 1-month mortality among patients with myocardial infarction with and with no ST-elevation. This cohort study was conducted in a referral hospital in the West Bank, Palestine. All patients with confirmed medical diagnosis of acute myocardial infarction and admitted to the medical coronary care unit in the hospital were eligible participants. A convenience sample of 186 participants was obtained. These participants were followed up for 1 month to assess their survival (alive or dead). Demographic and clinical data were recorded by reviewing their health records. The derived data were analyzed using SPSS version 19. About 36% of all patients were found to be hyponatremic, 15% of them have hypokalemia, and 9% of patients had hypocalcemia. There was a significant difference between STEMI and non-STEMI in sodium (t = 4.7, P < .001). A multivariate logistic regression analysis was performed to predict 1-month mortality for patients with myocardial infarction with and with no ST-elevation. The predictors that were found to be significant are sodium (odds ratio [OR] = 0.789, P = .010), calcium (OR = 0.221, P = .014), diastolic blood pressure (OR = 0.933, P = .047), and blood urea nitrogen (OR = 0.821, P = .005). Electrolyte imbalance was highly prevalent among patients with acute myocardial infarction. Hyponatremia and hypocalcemia were present and associated significantly with predicting 1-month mortality. Health care providers should take into consideration the electrolytes of patients with acute myocardial infarction from the first moment of admission and correct them early to maximize the clinical outcomes and survival for patients.

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Section: Discussionmentioning

confidence: 99%

“…These imbalances are connected to many interrelated factors such as vasopressin, the renin-angiotensin-aldosterone system, and catecholamine stimulation 2,34. Electrolyte imbalance is often associated with high mortality among hospitalized patients with AMI 9,35…”

Section: Discussionmentioning

confidence: 99%

Electrolyte Imbalance Among Patients With and With No ST-Elevation Myocardial Infarction

Dreidi

Asmar

Jaghama

et al. 2023

Critical Care Nursing Quarterly

View full text Add to dashboard Cite

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“…Electrolyte imbalances are common in STEMI subjects ( 31 , 32 ), and heart rhythm is influenced by electrolyte concentration ( 33 ). Although hyperkalemic STEMI is rare ( 34 ), our study revealed that 28.1% of STEMI subjects with hyperkalemia had RWMA in the LAD territory.…”

Section: Discussionmentioning

confidence: 99%

Influence of electrolyte imbalance on regional wall motion abnormalities in STEMI patients of North Indian origin

Shiraz Rizvi,

Sunny,

Wani

et al. 2023

Front. Cardiovasc. Med.

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Assessing regional wall motion abnormalities (RWMA) in the myocardium may provide early diagnosis and treat chronic remodeling in STEMI patients. We assessed RWMA in 217 subjects with anterior STEMI admitted to Era University Hospital in Lucknow, UP, India. Besides abnormalities in the LAD territory, sub-sets of patients exhibited diffuse regional myocardial dysfunction. Interestingly, variations in serum electrolytes, specifically sodium and potassium, significantly affected the distribution and frequency of RWMA. Notably, RWMA occurred in the basal septum, apical septum, apex, and lateral wall in the anterior STEMI group. Additionally, the rate of regional dysfunction varied with serum urea and creatinine levels. This suggests that anterior STEMI can manifest myocardial abnormalities beyond the LAD territory. These findings indicate that ST-segment elevation might not be specific, possibly influenced by electrolyte changes affecting cardiac rhythm. Therefore, diagnosing and correcting region-specific wall motion abnormalities and electrolyte imbalances may improve outcomes in STEMI patients.

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Electrolyte Imbalance in Patients of Acute Myocardial Infarction: A Study from Central India

Cited by 2 publications

References 10 publications

Electrolyte Imbalance Among Patients With and With No ST-Elevation Myocardial Infarction

Electrolyte Imbalance Among Patients With and With No ST-Elevation Myocardial Infarction

Influence of electrolyte imbalance on regional wall motion abnormalities in STEMI patients of North Indian origin

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