@article{MAKHILLRJBS20083910728,
    title = {Hypokalemia, Arrhythmias and Early Outcomes in Acute Myocardial Infarction},
    journal = {Research Journal of Biological Sciences},
    volume = {3},
    number = {9},
    pages = {1130-1132},
    year = {2008},
    issn = {1815-8846},
    doi = {rjbsci.2008.1130.1132},
    url = {https://makhillpublications.co/view-article.php?issn=1815-8846&doi=rjbsci.2008.1130.1132},
    author = {Azin Alizadehasl,Farnaz Sepasi,Rasoul Azarfarin and},
    keywords = {Hypokalemia,arrhythmias,acute myocardial Infarction,outcome,diabetic patients},
    abstract = {Serum potassium concentration was determined in 500 patients with Acute anterior Myocardial Infarction (AMI) on admission to Coronary Care Unit (CCU), within 12 h of onset of symptoms, at Madani heart center (Tabriz-Iran). About 12.2% of the overall patients studied, had significant hypokalemia (Serum Potassium level less than or equal to 3.5 mmol Lit <SUP>1</SUP>) while, hypokalemia was recorded in 15.4% of the patients associated with previous diuretic treatment. Hypokalemia was very rare in our patients, it was determined that diabetics have a higher level of potassium than nondiabetics (4.31 mmol Lit <SUP>1</SUP> versus 4.02 mmol Lit <SUP>1</SUP>). Considering the baseline characteristics and riskfactors between two study groups (Hypokalemia and Normokalemia) similar, the incidence of dysrrhythmias occurring during the first 12 h was referred to the initial serum potassium level. Ventricular Tachycardia (VT) was found in 29.1% of patients with hypokalemia as compared to 17.8% in normokalemic patients. Atrial Fibrillation (AF) and Ventricular Fibrillation (VF) were significantly more frequent in the hypokalemic (17.1 and 21.3%) than in the normokalemic patients (8.6 and 13.2%), although intraventricular and atrioventricular blocks were similar in the 2 groups. Also, total mortality was more frequent in hypokalemic group than normokalemic group (20.6% versus 16.9%). Thus, hypokalemia was an important predictor of malignant arrhythmias, mortality and poor outcome in AMI patients. A point of value that we found is lower incidence of hypokalemia in diabetic patients post AMI.}
    }