Tülin KURT, Serap BOS, Özgür OKUTURLAR, Tufan TÜKEK

Akut miyokard infarktüsü geçiren hastalarda erken mortaliteyi belirlemede üriner albümin atılım oranı

Amaç: Akut miyokard infarktüsünün (MI) seyri sırasında üriner albümin atılım (ÜAA) miktarı artmaktadır. Çalışmamızın amacı akut MI geçiren hastalarda ÜAA’nın kalp yetersizliği ve erken dönem mortaliteyi belirlemede etkili olup olmadığını araştırmaktır. Gereç ve yöntem: Çalışmaya akut MI geçiren 116 hasta (Erkek / Kadın: 96/20, yaş 59,8 ± 11,3 yıl) ile iskemik kalp hastalığı olan akut MI geçirmeyen 21 hasta (Erkek / Kadın :17/4, yaş 60,2 ± 11,9 yıl) alındı. ÜAA yoğun bakıma alındıktan itibaren ilk gün ve üçüncü gün olmak üzere 24 saatlik idrar toplanarak ölçüldü. Ekokardiyografi yapılabilen hastalar sol ventrikül ejeksiyon fraksiyonuna (LVEF) göre LVEF < %50 (n=61) ve LVEF > %50 (n=32) olmak üzere 2 gruba ayrıldı. Bulgular: 1. ve 3. gün ÜAA akut MI geçiren hastalarda kontrol grubuna göre anlamlı olarak daha yüksek bulundu (1. gün 75,30 ve 13,00 mg/gün p

The urinary albumin excretion rate in the prediction of early mortality in patients with acute myocardial infarction

Objective: Urinary albumin excretion rate (AER) increases in acute myocardial infarction (MI). The purpose of this study was to evaluate whether the increase of urinary AER was an important factor for predicting early mortality and heart failure in patients with acute MI. Materials and methods: 116 patients with acute MI (Male / Female: 96/20, mean age 59.8 ± 11.3 years) and 21 patients (Male / Female:17/4, mean age 60.2 ± 11.9 years) with ischemic heart disease but without MI were included in this study. The patients were divided into two groups according to whether left ventricular ejection fraction (LVEF) was >50% or

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