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World Journal of Advance Healthcare Research (WJAHR)Honored the authors with best paper award, monthly based on the innovation of research work. Best paper will be selected by our expert panel.
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THE PROGNOSTIC VALUE OF HIGH LEVELS OF (BUN) IN ACUTE MYOCARDIAL INFARCTION PATIENTS
Ali Louai Naddaf*, Abdullah Shikh Ibraheem and Ibrahim Suliman
Myocardial infarction is one of the most prevalent diseases around the world and is one of the most common diseases that cause mortality. Therefore, it was necessary to find markers that contribute to determining the prognosis in patients with acute coronary syndrome (ACS), hence the importance of cardiac troponine, ck, ck-mb, creatinine, electrolytes and blood urea nitrogen (BUN) in evaluating the prognosis and providing optimal treatment for patients. In this research, we will study the changes in BUN levels in patients with myocardial infarction and their impact on prognosis. This study included 80 patients and they were divided into two groups, a high-risk group and a low-risk group based on the global registry of acute cardiac events (GRACE score), and successive laboratory tests were made for BUN from admission to discharge. We found that the incidence of BUN elevation was 48.8% on the first day and 55% on the fourth day. We also noticed that a BUN level of more than 20 mg\dl was associated with bad prognosis in short-term follow-up (p-value = 0.001). We found a significant association between the development of cardiac shock and arrhythmias with BUN elevation (p-value = 0.001).[Full Text Article]