January - 2012
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Serum Potassium Levels and Mortality in Acute Myocardial InfarctionA Goyal, J Spertus, K Gosch, L Venkitachalam, P Jones, G Van den Berghe, M Kosiborod. JAMA, 2012, 307(2):157-164 This page is only available to Crit-IQ subscribers. To view the rest of this review and gain access to our vast array of critical care teaching tools including podcasts, vodcasts, modules, exam preparation tools, teaching aids and much more, login here, or Become a Member to register |
January |
Previous Comments
| Interesting paper - what is the link to mortality? Is it that dyskalaemia causes problems such as arrhythmias? Or is it an independent marker of background pathology not explained by the regression analysis - such as diuretic use for heart failure causing hypokalaemia, or acute renal impairment resulting in hyperkalaemia? | |
| Todd Fraser-28 Jan, 2012 10:34:12 AM | |
| I suspect you're right... | |
| Darren Cable-29 Jan, 2012 04:20:56 PM | |
Comment
This large retrospective cohort study of patients with biomarker confirmed AMI reported lowest mortality when K was between 3.5-4.5. This was significant and persisted after multivariate adjustment. The highest rates of ventricular arrhythmias were seen with K's of less than 3.0 or...