A Prospective study comparing the frequency of hyponatremia in survivors and deaths after ST elevation myocardial infarction- A cohort study.

Jiss V  Peter; Anju T  James; Shameem K U; Namrata Mathur

doi:10.51168/sjhrafrica.v6i6.1904

Authors

Jiss V Peter Senior Resident, Department of Trauma and Emergency, AIIMS, Jodhpur, Rajasthan, India
Anju T James Senior Resident, Department of Pulmonology, AIIMS, Jodhpur, Rajasthan, India
Shameem K U HOD, Department of Emergency Medicine, KIMSHEALTH Hospital, Trivandrum, Kerala, India
Namrata Mathur Assistant Professor, Department of Trauma and Emergency, AIIMS, Jodhpur, Rajasthan, India

DOI:

https://doi.org/10.51168/sjhrafrica.v6i6.1904

Keywords:

ST-Elevation Myocardial Infarction, Hyponatremia, Survivors, Cardiovascular Disease, Myocardial Infarction

Abstract

Background

With differing results both in the hospital and subsequently, STEMI remains a serious health issue. At the community level, effective interventions are required to stop its progression. One of the major issues with CVDs in India is hypertensive heart disease. In order to address this substantial burden, it is necessary to comprehend the intricate dynamics that underlie the connections between the biological and social determinants.

Objectives- To compare the incidence of hyponatremia among survivors and deaths after ST elevation MI, the current study was conducted.

Materials and methods

It was a prospective, observational study. The study was carried out at the Department of Emergency and Cardiology, Kerala Institute of Medical Sciences (KIMS), Trivandrum, Kerala, India. The study was conducted for 18 months, that is, from November 2018 to February 2020. In all, 100 patients were enrolled in the study.

Results

34% of the patients were between the ages of 51 and 60, and 38% were between the ages of 61 and 70. The bulk of the patients were in this age range. With 80% of the patients being men and only 20% being women, there was a pronounced male predominance. The most common comorbidities were diabetes mellitus (57%) and hypertension (61%), indicating their close correlation with STEMI.

Conclusion

According to the study's findings, patients with STEMI who had hyponatremia had a considerably higher in-hospital death rate. According to the study's findings, serum sodium levels in STEMI patients should be regularly checked since they can be a straightforward and affordable prognostic indicator.

Recommendation

Regular monitoring of serum sodium levels is recommended in STEMI patients to identify and manage the risk of in-hospital mortality.

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