Hyponatremia negatively affects outcome of patients with ST elevation myocardial infarction treated with primary angioplasty ... | ||||
| Fayoum University Medical Journal | ||||
| Volume 15, Issue 2, June 2025, Page 11-23 PDF (618.55 K) | ||||
| Document Type: Full Length research Papers | ||||
| DOI: 10.21608/fumj.2025.341270.1429 | ||||
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| Authors | ||||
mohammed gamal Mohammed  1; aly mostafa elshimy2; Khaled ahmed El khashab3; ahmed magdy elebiary4; Gomaa abdel razek ahmed5
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| 1cardiology, faculty of medicine, Fayoum university, Fayoum, Egypt | ||||
| 2cardiology department, faculty of medicine , Fayoum university , Fayoum, Egypt | ||||
| 3Cardiovascular medicine department – Fayoum University- Fayoum- Egypt | ||||
| 4physiology department, faculty of medicine , Fayoum university , Fayoum, Egypt | ||||
| 5cardiology department, faculty of medicine , Fayoum university, Fayoum , Egypt | ||||
| Abstract | ||||
| Serious health consequences such as increased mortality, morbidity, and longer hospital admissions are linked to hyponatremia. Cardiovascular mortality is correlated with hyponatremia in individuals with HF. Myocardial infarction may lead to hyponatremia due to the stimulation of the renin-angiotensin system and elevated production of catecholamines. The research objected to evaluate of the influence of hyponatremia on results in cases with ST segment elevation myocardial infarction handled by 1ry angioplasty during hospitalization and thirty days following discharge.The research involved one hundred cases (sixty-five cases with hyponatremia and thirty-five cases with normal sodium) hospitalized with STEMI and treated by primary angioplasty .The following were done for all cases: ECG, cardiac biomarkers, admission sodium level, and glomerular filtration rate (GFR). The intervention involved the use of stents and glycoprotein IIb/IIIa inhibitors during coronary angiography. In-hospital problems like mechanical complications, heart failure, arrhythmia and cardiac arrest and follow up for thirty days following discharge. we found that hyponatremia was associated with lower left ventricular Ejection fraction and Hyponatremia was more frequent in HF cases compared to in non-HF cases in the ICU33% of individuals suffered problems within 30 days. Complications occurred in 19% of cases with HF, 10% with re-infarction, and 2% with death or VT. | ||||
| Keywords | ||||
| myocardial infarction; hyponatremia; angioplasty | ||||
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