Abstract
The present study is done to determine the prevalence and prognostic implications of hyponatremia in the setting of acute ST-elevation myocardial infarction. The study sample consists of 50 patients presenting with acute ST-elevation myocardial infarction. Plasma sodium concentrations were obtained on admission and at 24, 48, and 72 hours thereafter. Patients with ckd stage 3, 4 and 5, CCF patients on diuretics, previous history of head injury and stroke, known hypothyroidism patients and nephrotic syndrome are excluded in this study. Hyponatremia, defined as a plasma sodium level <135 mmol/L (<135 mEq/L), is present in 20 patients within first 72 hours of hospitalization where 25% patients died. In rest of 30 patients, only 3.3% of patients died. Hyponatremia on admission or early development of hyponatremia in patients with acute ST-elevation myocardial infarction is an independent predictor of mortality and prognosis.
Keywords: hyponatremia, myocardial infarction.
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- 2006 Apr 10; 166(7):781-6. Hyponatremia and long-term mortality in survivors of acute ST-elevation myocardial infarction. Goldberg A1, Hammerman H, Petcherski S, Nassar M, Zdorovyak A, Yalonetsky S, Kapeliovich M, Agmon Y, Beyar R, Markiewicz W, Aronson D.Department of Cardiology, Rambam Medical Center and Rappaport Medical School, Haifa, Israel.
Corresponding Author
Dr M. Ajeeth Fera
Post Graduate, Department of Medicine,
RMMCH, Chidambaram-608002,Tamilnadu
DOI: https://dx.doi.org/10.18535/jmscr/v5i10.142
