A study on the effect of biochemical parameters on the outcome and risk stratification of patients with cardiogenic shock following acute myocardial infarction in a Tertiary Care Hospital in South India

Abstract

Introduction: Cardiogenic shock (CS) is the most extreme complication of myocardial infarction and it is the initial presentation of at least 1 in 15 patients admitted to ICCU. Despite heroic efforts, the in-hospital mortality due to CS is still very high. Aims To determine the prognosis of patients admitted with cardiogenic shock as a complication of acute MI To stratify the risk in the above patients with respect to the levels of admission day random blood glucose, thyroid hormone levels- T3,T4,TSH, Lipid profile- Total cholesterol, triglycerides, HDL,LDL, serum uric acid, blood urea and serum creatinine. Methodology: We conducted a prospective, observational, descriptive, intention to treat study of patients presenting with cardiogenic shock as a result of acute MI presenting to the ICCU of Government Medical College, Coimbatore. The outcome and the multiple variables (hematological and biochemical parameters) were studied so as to stratify the risk of poor prognosis.