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- W986465216 abstract "Background: Coronary heart disease is a progressive disease, characterized byvar iety of clinical presentations from asymptomatic, stable angina, acute coronarysyndrome and suddent death. In acute miocard infarct, release of nonosmoticvasopressin on the state of acute left ventricular dysfunction occurs in respon tobone pain, nausea, stress, or respon to analgetic and diuretic. Rate of vasopresinmount concurrently with activation of other neurohormonal like and rennin ofnorepinephrine. Patient with acute miocard infarct, hiponatremia become very lowcaused by activation at the same time from rennin angiotensin system and increasecatecolamin. Low sodium level represent of activation of neurohormonal in acutemiocard infark was high risk to heart failure and mortalitas.Objective: To know relationship between early sodium level and mortality within30 day in acute myocardial infarction.Methods: This study is an observational prospective cohort study in AMI patientswho treated in Intensive Cardiac Care Unit (ICCU) of Dr. Sardjito Hospital sinceOctober 2005 to September 2006.. Subject fulfilled inclusion and exclusioncriteria , divided into 2 group, group with sodium < 136 mEq/L and sodium �136mEq/L. Time of collecting sampling on sodium was on admission hospital.During 30 days of follow up, we observed outcome of mortality.Results: There were 47 subjects, they consist of 34 males and 13 females.Mortality outcome in group sodium > 136 mEq/L was higher than sodium � 136mEq/L (p=0,0154). Survival analisis with Kaplan-Meier methode to mortalityshowed there was significantly difference between two groups ( log rangp=0,036).Conclusions: Low serum sodium level affect the mortality during 30 days offollow up post AMI events with odds ratio 3,422 (95% CI: 0,761-15,388" @default.
- W986465216 created "2016-06-24" @default.
- W986465216 creator A5033628406 @default.
- W986465216 creator A5036401251 @default.
- W986465216 date "2012-01-01" @default.
- W986465216 modified "2023-09-23" @default.
- W986465216 title "HUBUNGAN KADAR NATRIUM DENGAN ANGKA KEMATIANDALAM 30 HARI PADA INFARK MIOKARD AKUT(TINJAUAN PUSTAKA DAN LAPORAN HASIL PENELITIAN)" @default.
- W986465216 hasPublicationYear "2012" @default.
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