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Phoenix Medical Journal Pub Date : 2023-05-26 DOI:10.38175/phnx.1297449

Muhammed Semih Gedi̇k, Kemal Göçer

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摘要

目的:急性心肌梗死患者的血象、生化、血清电解质和炎症标志物水平发生改变。在使用心脏特异性生物标志物诊断和监测急性心肌梗死患者时，也应控制这些标志物的水平。我们探讨了血象、生化、炎症标志物和电解质水平对急性心肌梗死的诊断和治疗价值。材料方法:采用描述性流行病学研究。在研究范围内，回顾性纳入了2020年1月1日至2022年7月31日期间在kahramanmaraki Sütçü İmam大学医学院医院急诊科和心内科诊断为急性心肌梗死的所有18岁及以上患者。对急性心肌梗死患者进行血象、生化、血清电解质及炎症标志物的检测。结果:急性心肌梗死患者白细胞、中性粒细胞、降钙素原和c反应蛋白水平明显升高。虽然血小板/淋巴细胞比值较高，但未发现显著性差异。在急性心肌梗死患者中，应激时测量的血糖值较高(高血糖)。当我们分析急性心肌梗死患者的血清乳酸水平时，发现它明显更高。结论:急性心肌梗死患者血象、生化、血清电解质及炎症标志物均发生改变。在诊断和随访具有心脏特异性生物标志物的急性心肌梗死患者时，也应控制这些标志物的水平。我们认为血象、生物化学、炎症标志物和电解质水平可能有助于预测急性心肌梗死患者的早期严重并发症。

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Akut Miyokard Infarktüslü Hastalarda Hemogram, Biyokimya, İnflamatuar Belirteçler ve Elektrolit Düzeylerinin Değerlendirilmesi

Aim: Hemogram, biochemistry, serum electrolyte, and inflammatory marker levels are altered in patients with acute myocardial infarction. When diagnosing and monitoring patients with acute myocardial infarction using cardiac-specific biomarkers, the levels of these markers should also be under control. We looked into the diagnostic and therapeutic value of hemogram, biochemistry, inflammatory markers, and electrolyte levels in acute myocardial infarction patients. Material Method: It is a descriptive epidemiological study. Within the scope of the study, all patients aged 18 years and over and diagnosed with acute myocardial infarction in the Emergency Department and Cardiology Department of Kahramanmaraş Sütçü İmam University Faculty of Medicine Hospital between 01.01.2020 - 31.07.2022 were included retrospectively. Hemogram, biochemistry, serum electrolyte and inflammatory marker levels were investigated in acute myocardial infarction patients. Results: Leukocyte, neutrophil, procalcitonin and C-reactive protein values were significantly higher in patients with acute myocardial infarction. Although platelet/lymphocyte ratios were high, no significance was found. In patients with acute myocardial infarction, glucose values measured at the time of stress were found to be high (hyperglycaemia). When we analysed the serum lactate levels of patients with acute myocardial infarction, it was found to be significantly higher. Conclusion: In patients with acute myocardial infarction, hemogram, biochemistry, serum electrolyte and inflammatory marker levels are altered. The levels of these markers should also be controlled during the diagnosis and follow-up of acute myocardial infarction patients with cardiac specific biomarkers. We believe that hemogram, biochemistry, inflammatory markers and electrolyte levels may contribute to the prediction of early serious complications in patients with acute myocardial infarction.

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Phoenix Medical Journal

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