Impact of blood pressure and serum electrolytes level on ejection fraction in acute myocardial infarction patients

Samir Kumar Singh; Manish Bajpai; Sunita Tiwari; Rishi Sethi; Dileep Kumar Verma; Gaurav Chaudhary; Tej Bali Singh

doi:10.5455/njppp.2020.10.12388201908072020

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Original Research
Online Published: 21 Jul 2020

Natl J Physiol Pharm Pharmacol. 2020; 10(10): 884-888

doi: 10.5455/njppp.2020.10.12388201908072020

Impact of blood pressure and serum electrolytes level on ejection fraction in acute myocardial infarction patients

Samir Kumar Singh, Manish Bajpai, Sunita Tiwari, Rishi Sethi, Dileep Kumar Verma, Gaurav Chaudhary, Tej Bali Singh.

Abstract
Background: Various factors such as age, body mass index (BMI), blood pressure (BP), and serum electrolytes affect ejection fraction (EF) improvement in acute myocardial infarction (AMI) patients after percutaneous coronary intervention (PCI). Many studies have been done to assess effect of these factors on long-term basis, but none of the studies showed effect of these factors on efficacy of PCI.

Aims and Objectives: This study aims to find out the role of BP and serum electrolytes in patients of AMI and to assess the efficacy of PCI as well as to predict the prognosis in AMI patients.

Materials and Methods: It is a longitudinal, interventional study. EF of 52 patients of AMI was measured by echocardiography before and after angioplasty who had been admitted in cardiology emergency. Statistical software IBM Statistical Package for the Social Sciences trial version 16 was used for analysis of data.

Results: We found that as the age advances, there is less improvement in EF (P = 0.38) also as the BMI increases, improvement in EF decreases (P = 0.53). Tachycardia leads to improvement in EF (P = 0.13), while those patients who had initial abnormal BP showed less improvement in EF (P = 0.93). Serum electrolytes analysis showed that as serum sodium and potassium level increase, improvement decrease (P = 0.06), while those patients who had normal serum calcium level showed less improvement in EF (P = 0.76). Only serum sodium and serum potassium showed some significance statistically (P = 0.06).

Conclusion: Increased serum sodium and potassium level are associated with poor prognosis, while lesser age and normal BMI are associated with improved prognosis in AMI patients after PCI.

Key words: Acute Myocardial Infarction; Percutaneous Intervention; Ejection Fraction; Serum Electrolytes

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Pubmed Style

Singh SK, Bajpai M, Tiwari S, Sethi R, Verma DK, Chaudhary G, Singh TB. Impact of blood pressure and serum electrolytes level on ejection fraction in acute myocardial infarction patients. Natl J Physiol Pharm Pharmacol. 2020; 10(10): 884-888. doi:10.5455/njppp.2020.10.12388201908072020

Web Style

Singh SK, Bajpai M, Tiwari S, Sethi R, Verma DK, Chaudhary G, Singh TB. Impact of blood pressure and serum electrolytes level on ejection fraction in acute myocardial infarction patients. https://www.njppp.com/?mno=78286 [Access: March 08, 2025]. doi:10.5455/njppp.2020.10.12388201908072020

AMA (American Medical Association) Style

Singh SK, Bajpai M, Tiwari S, Sethi R, Verma DK, Chaudhary G, Singh TB. Impact of blood pressure and serum electrolytes level on ejection fraction in acute myocardial infarction patients. Natl J Physiol Pharm Pharmacol. 2020; 10(10): 884-888. doi:10.5455/njppp.2020.10.12388201908072020

Vancouver/ICMJE Style

Singh SK, Bajpai M, Tiwari S, Sethi R, Verma DK, Chaudhary G, Singh TB. Impact of blood pressure and serum electrolytes level on ejection fraction in acute myocardial infarction patients. Natl J Physiol Pharm Pharmacol. (2020), [cited March 08, 2025]; 10(10): 884-888. doi:10.5455/njppp.2020.10.12388201908072020

Harvard Style

Singh, S. K., Bajpai, . M., Tiwari, . S., Sethi, . R., Verma, . D. K., Chaudhary, . G. & Singh, . T. B. (2020) Impact of blood pressure and serum electrolytes level on ejection fraction in acute myocardial infarction patients. Natl J Physiol Pharm Pharmacol, 10 (10), 884-888. doi:10.5455/njppp.2020.10.12388201908072020

Turabian Style

Singh, Samir Kumar, Manish Bajpai, Sunita Tiwari, Rishi Sethi, Dileep Kumar Verma, Gaurav Chaudhary, and Tej Bali Singh. 2020. Impact of blood pressure and serum electrolytes level on ejection fraction in acute myocardial infarction patients. National Journal of Physiology, Pharmacy and Pharmacology, 10 (10), 884-888. doi:10.5455/njppp.2020.10.12388201908072020

Chicago Style

Singh, Samir Kumar, Manish Bajpai, Sunita Tiwari, Rishi Sethi, Dileep Kumar Verma, Gaurav Chaudhary, and Tej Bali Singh. "Impact of blood pressure and serum electrolytes level on ejection fraction in acute myocardial infarction patients." National Journal of Physiology, Pharmacy and Pharmacology 10 (2020), 884-888. doi:10.5455/njppp.2020.10.12388201908072020

MLA (The Modern Language Association) Style

Singh, Samir Kumar, Manish Bajpai, Sunita Tiwari, Rishi Sethi, Dileep Kumar Verma, Gaurav Chaudhary, and Tej Bali Singh. "Impact of blood pressure and serum electrolytes level on ejection fraction in acute myocardial infarction patients." National Journal of Physiology, Pharmacy and Pharmacology 10.10 (2020), 884-888. Print. doi:10.5455/njppp.2020.10.12388201908072020

APA (American Psychological Association) Style

Singh, S. K., Bajpai, . M., Tiwari, . S., Sethi, . R., Verma, . D. K., Chaudhary, . G. & Singh, . T. B. (2020) Impact of blood pressure and serum electrolytes level on ejection fraction in acute myocardial infarction patients. National Journal of Physiology, Pharmacy and Pharmacology, 10 (10), 884-888. doi:10.5455/njppp.2020.10.12388201908072020

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