OCCURRENCE OF HYPOKALEMIA IN SUSPECTED ACUTE MYOCARDIAL-INFARCTION AND ITS RELATION TO CLINICAL HISTORY AND CLINICAL COURSE
OCCURRENCE OF HYPOKALEMIA IN SUSPECTED ACUTE MYOCARDIAL-INFARCTION AND ITS RELATION TO CLINICAL HISTORY AND CLINICAL COURSE
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DOI：
10.1002/clc.4960111005
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发表时间：
1988-10-01
影响因子：
2.7
通讯作者：
BENGTSON, A
中科院分区：
文献类型：
--
作者：
HERLITZ, J;HJALMARSON, A;BENGTSON, A
在1350例疑似急性心肌梗死患者中，入院前3天血钾水平与病史、病程相关。在女性、高血压患者和接受慢性利尿剂治疗的患者中，观察到低钾血症的发生率较高。前壁梗死组低血钾发生率高于下壁梗死组，大梗死灶与小梗死灶相比，低钾血症发生率更高。脑梗塞确诊患者与诊断未确诊患者之间无明显差异。低钾血症的独立预测因素是入院前是否服用利尿剂、梗塞面积和女性。住院前3天的低钾血症与住院期间严重室性心律失常的发生有关，但与5年随访期间的存活率无关。
In 1350 patients with suspected acute myocardial infarction, serum potassium levels during the first 3 days in hospital was correlated to clinical history and clinical course. A higher incidence of hypokalemia was observed in women, in patinets with hypertension, and in those on chronic diuretic treatment. Patients with anterior infarction had a higher incidence of hypokalemia than those with inferior infarction, as did patients with large as compared with small infarcts. No clear difference was observed between patients whose infarction was confirmed and those in whom the diagnosis was not confirmed. Independent predictors for hypokalemia were treatment with diuretics before admission to hospital, infarct size, and female sex. Hypokalemia during the first 3 days of hospitalization was associated with the occurrence of severe ventricular arrhythmias during hospitalization, but not with survival during a 5-year follow-up.