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Background Materials and Method Results and Discussion Conclusion

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 Background

Acute Myocardial Infarction is leading cause of mortality and morbidity

througout the world. Its prevelance among developing country has increased
significantly over past two decades. Acute myocardial infarction is associated
with electrolyte imbalance most commonly with hypomagnesemia and
hypokalaemia. Both are associated with ventricular arrythmia which can lead
to increase inhospital mortality and morbidity.

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 Materials and Method

•Study design:
•Prospective observational study.  
•Place of study:
•Department of Cardiology, Dhaka Medical College Hospital, Dhaka. 
•Period of study:
•January 2017 to Dec 2017. 
•Study population:
•Newly diagnosed acute myocardial infarction patients admitted in the department of cardiology,
DMCH within the study period.  
•Sampling population
•Newly diagnosed acute myocardial infarction patients admitted in the department of Cardiology,
DMCH, within the study period and who fulfilled the other inclusion and exclusion criteria. 
•Sampling method:
•Purposive sampling technique.
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Results and Discussion

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 Conclusion

This study showed that there is association between hypomagnesaemia

and occurrence of ventricular arrhythmia in patient with acute myocardial
infarction in comparison to normal serum magnesium. It also showed that
hypomagnesaemia is associated with hypokalaemia and hypocalcaemia.
AMI patients with hypomagnesaemia has worse in hospital prognostic
outcome in comparison to those with normal serum magnesium level. This
study suggests that the presence of hypomagnesaemia is more prone to
develop ventricular arrhythmias which increase in-hospital mortality and
morbidity.

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 Reference

Abraham AS, Eylath U, Weinstein M, Czaczkes E. Serum magnesium levels in

patients with acute myocardial infarction. N Eng J Med 1977;296:862-863.
ACCF/AHA Guideline for the Management of ST-Elevation Myocardial
Infarction. Circulation. 2013;127:e362-e425.
Anjum MS, Iqbal S, Kalsoom N,Manjoor H. ACUTE CORONARY
SYNDROME; Frequency of hypomagnesaemia in patients. The Profesional
Medical Journal Jan-Feb 2013;20(1): 034-038. 034
Kafka H, Langevin R, Armstrong PW. Serum magnesium and potassium in
acute myocardial infarction. Arch Intern Med 1987;147:465-469.
Makoui RH. Evaluation of Serum Value of Magnesium in Patients with Acute
Coronary Syndrome (ACS) and its Relationship with Occurrence of
Arrhythmias. Middle-East Journal of Scientific Research 12 (8): 1107-1110,
2012, ISSN 1990-9233.
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