Effect of Dynamic Potassium Change on In-Hospital Mortality, Ventricular Arrhythmias, and Long-Term Mortality in STEMI
dc.contributor.author | Kaya, Adnan | |
dc.contributor.author | Keskin, Muhammed | |
dc.contributor.author | Tatlısu, Mustafa Adem | |
dc.contributor.author | Kayapınar, Osman | |
dc.date.accessioned | 2020-05-01T09:11:38Z | |
dc.date.available | 2020-05-01T09:11:38Z | |
dc.date.issued | 2019 | |
dc.department | DÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü | en_US |
dc.description | Keskin, Muhammed/0000-0002-4938-0097; kaya, adnan/0000-0002-9225-8353 | en_US |
dc.description | WOS: 000453470000010 | en_US |
dc.description | PubMed: 29962233 | en_US |
dc.description.abstract | We evaluated the effect of serum potassium (K) deviation on in-hospital and long-term clinical outcomes in patients with ST-segment elevation myocardial infarction who were normokalemic at admission. A total of 2773 patients with an admission serum K level of 3.5 to 4.5 mEq/L were retrospectively analyzed. The patients were categorized into 3 groups according to their K deviation: normokalemia-to-hypokalemia, normokalemia-to-normokalemia, and normokalemia-to-hyperkalemia. In-hospital mortality, long-term mortality, and ventricular arrhythmias rates were compared among the groups. In a hierarchical multivariable regression analysis, the in-hospital mortality risk was higher in normokalemia-to-hypokalemia (odds ratio [OR] 3.03; 95% confidence interval [CI], 1.72-6.82) and normokalemia-to-hyperkalemia groups (OR 2.81; 95% CI, 1.93-4.48) compared with the normokalemia-to-normokalemia group. In a Cox regression analysis, long-term mortality risk was also higher in normokalemia-to-hypokalemia (hazard ratio [HR] 3.78; 95% CI, 2.07-7.17) and normokalemia-to-hyperkalemia groups (HR, 2.97; 95% CI, 2.10-4.19) compared with the normokalemia-to-normokalemia group. Ventricular arrhythmia risk was also higher in normokalemia-to-hypokalemia group (OR 2.98; 95% CI, 1.41-5.75) compared with normokalemia-to-normokalemia group. The current study showed an increased in-hospital ventricular arrhythmia and mortality and long-term mortality rates with the deviation of serum K levels from normal ranges. | en_US |
dc.identifier.doi | 10.1177/0003319718784127 | en_US |
dc.identifier.endpage | 77 | en_US |
dc.identifier.issn | 0003-3197 | |
dc.identifier.issn | 1940-1574 | |
dc.identifier.issue | 1 | en_US |
dc.identifier.scopusquality | Q2 | en_US |
dc.identifier.startpage | 69 | en_US |
dc.identifier.uri | https://doi.org/10.1177/0003319718784127 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12684/5702 | |
dc.identifier.volume | 70 | en_US |
dc.identifier.wos | WOS:000453470000010 | en_US |
dc.identifier.wosquality | Q3 | en_US |
dc.indekslendigikaynak | Web of Science | en_US |
dc.indekslendigikaynak | PubMed | en_US |
dc.indekslendigikaynak | Scopus | en_US |
dc.language.iso | en | en_US |
dc.publisher | Sage Publications Inc | en_US |
dc.relation.ispartof | Angiology | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.subject | dynamic potassium change | en_US |
dc.subject | STEMI | en_US |
dc.subject | mortality | en_US |
dc.subject | ventricular arrhythmias | en_US |
dc.title | Effect of Dynamic Potassium Change on In-Hospital Mortality, Ventricular Arrhythmias, and Long-Term Mortality in STEMI | en_US |
dc.type | Article | en_US |
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