Prevalence of Vitamin D Deficiency in Acute Coronary Syndrome in a Tertiary Care Hospital, Maharashtra, India

Patil, Shilpa; Prajapati, Piyush; Gandhi, Saurabh; Bahulekar, Ajinkya; Pandey, Yash; Patil, Omkar; Afzalpurkar, Shivaraj; Kandagatla, Srikant

doi:10.14260/jemds/2017/64

Cited by 2 publications

(4 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Electrolyte imbalance is a common finding among hospitalized patients with AMI. 9,33 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.…”

Section: Discussionmentioning

confidence: 99%

“…Hyponatremia and hypocalcemia were found to significantly predict 1-month mortality for patients with AMI from the date of their admission to the hospital. Electrolyte imbalance is a common finding among hospitalized patients with AMI 9,33. These imbalances are connected to many interrelated factors such as vasopressin, the renin-angiotensin-aldosterone system, and catecholamine stimulation 2,34.…”

Section: Discussionmentioning

confidence: 99%

“…Regarding other EI, hypocalcemia was consistent with previous studies. Patil et al33 found that hypocalcemia is common among patients with AMI (>50%) and is associated with high mortality and adverse effects on the outcome of the disease. The differences in the frequencies of hypocalcemia may be due to many factors, such as differences in the health care system and documentation, the presence of extraneous factors that may disturb the results of calcium tests among patients with AMI, and taking medications that may affect or alter the serum calcium levels.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

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

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

show abstract

“…Serum sodium (Na), potassium (K), and calcium (Ca2+) are the major determinants of electrophysiological properties of the myocardial membrane. [7] These electrolytes play important roles in cellular metabolism, energy transformation and the regulation of cellular membrane potentials, especially those of muscle and nerve cells. [8] Certain biochemical abnormalities, notably hyperkalaemia and hyponatraemia, have been described [9,10] among individuals with VHDs and life-threatening electrolyte abnormalities are known to affect the prognosis and outcome of disease states.…”

mentioning

confidence: 99%

Clinical implications of incidental medical and laboratory findings in preoperative valvular heart disease patients – A South Eastern Nigerian experience

Njoku,

Meka,

Mbadiwe

et al. 2023

ajhs

View full text Add to dashboard Cite

Introduction: Valvular heart diseases with their varying aetiologies are becoming common in developing countries. Certain biochemical abnormalities exist in this group of patients which may contribute to adverse outcomes. It is imperative for clinicians to promptly and adequately identify these abnormalities where and when they occur for optimal patient outcomes. The study aimed to describe the incidental medical and laboratory abnormalities seen in valvular heart disease patients presenting for open heart surgery. Methodology: This was a retrospective hospital-based study. Relevant data were extracted from patients’ folders, cleaned and analyzed. The study was carried out at the University of Nigeria Teaching Hospital, Enugu, Nigeria. The study involved adult patients evaluated for heart surgery. The outcome measure was the proportion of participants with deranged biochemical parameters. Results: A total of 51 patients with a mean (SD) age of 42.84 (15.0) years and an M: F ratio of 1:1.4 were involved in the study. Mitral valve regurgitation = 22 (43.14%) was found to be the commonest disorder among surveyed participants. The commonest electrolyte abnormalities were hyponatraemia 14 (27.45%) and hypokalaemia 6 (11.76%) respectively. A total of 8 (15.69%) and 9 (17.65%) patients had elevated creatinine and urea levels respectively, while 3 (5.88%) of the participants had their blood glucose levels in the diabetic range. Conclusion: Hyponatraemia and hypokalaemia were the commonest electrolyte abnormalities. Hyperglycaemia, elevated urea and creatinine as well as deranged eGFR were other abnormal findings.

show abstract

Prevalence of Vitamin D Deficiency in Acute Coronary Syndrome in a Tertiary Care Hospital, Maharashtra, India

Abstract: The purpose of this prospective study was to assess the association between 25 (OH) D levels in ACS.

Cited by 2 publications

References 32 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

Clinical implications of incidental medical and laboratory findings in preoperative valvular heart disease patients – A South Eastern Nigerian experience

Contact Info

Product

Resources

About