| Abstrakt: |
Depression of the thyroid hormone system may happen in otherwise euthyroid patients in serious acute illness of any cause. In this condition, called Euthyroid Disease Syndrome, the standard feed-back control of the homeostasis of the thyroid is changed.11-13 To find out the occurrence of EUTHYROID SICK SYNDROME in ACUTE MYOCARDIAL INFARCTION patients admitted to intensive care unit in SREE BALAJI HOSPITAL, CHENNAI and its prognostic significance. This study was conducted in the Intensive care unit, SREE BALAJI MEDICAL COLLEGE AND HOSPITAL, Chennai in collaboration with Dept of internal medicine, Dept of Cardiology and Dept of biochemistry. It was a prospective study done during the period from April 2017 to March 2018. 100 patients with history, clinical features suggestive of myocardial infarction were selected irrespective of age and sex. In our study STEMI were 52 patients and NSTEMI were 52 patients, among which the occurrence of Euthyroid sick syndrome among STEMI was 46.2% and NSTEMI was 37.5%. p value was 0.381 which is statistically insignificant. To our knowledge no study compared between STEMI and NSTEMI.In our study AWMI were 56 patients, IWMI were 38 patients and Other MI were 6 patients among which occurrence of Euthyroid sick syndrome in AWMI patients was 32.1%, in IWMI patients was 47.4% and in OTHERS it was 100%. p value was 0.004 that was statistically significant. Previous studies also showed similar results. The presence of Euthyroid sick syndrome in Acute myocardial infarction patients may contribute to the elaboration of an AMI severity index. [ABSTRACT FROM AUTHOR] |
