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Published on: February 16, 2011
Incidence of Hyperuricemia in Patients with Acute Myocardial Infarction - A Case-Control Study
Kheraj Mal1, Jamila Begum Jabar Ali2, Kiran Fatima3
1Cardiology, National Institute of Cardiovascular Diseases, Sukkur, PAK.
Insights
Hyperuricemia, or high serum uric acid, is more prevalent in patients experiencing acute myocardial infarction (AMI). This finding suggests screening for high uric acid levels in heart attack patients may be beneficial.
Area of Science:
- Cardiology
- Metabolic Disorders
Background:
- Existing research indicates a link between serum uric acid (sUA) and cardiovascular disease (CVD).
- Limited local data exists on hyperuricemia prevalence in acute myocardial infarction (AMI) patients within Pakistan.
Purpose of the Study:
- To determine the prevalence of hyperuricemia in patients diagnosed with AMI.
- To compare hyperuricemia rates between AMI patients and a control group.
Main Methods:
- A case-control study was conducted involving 119 AMI patients and 119 controls.
- Serum uric acid levels were measured within 24 hours of AMI diagnosis.
- Data was collected from March to November 2019 at a tertiary care hospital in Pakistan.
Main Results:
- Mean sUA levels were significantly higher in the AMI group (6.17 ± 2.12) compared to the control group (5.51 ± 1.89, p=0.01).
- Hyperuricemia was more common in AMI patients (47.89%) than in controls (33.6%, p=0.04).
Conclusions:
- Hyperuricemia is independently associated with acute myocardial infarction.
- Screening for hyperuricemia should be considered for individuals at high risk for myocardial infarction.
Abstract:
Introduction Various researches have stated the correlation between serum uric acid (sUA) and cardiovascular disease (CVD); however, no local studies are available. In this study, we will determine the prevalence of hyperuricemia in patients with acute myocardial infarction and compare with the control group. Methods This case-control study was conducted from March to November 2019 in the tertiary care hospital in Pakistan. In all, 119 patients with acute myocardial infarction were enrolled in this study, and 119 controls were identified from the outpatient department. Their sUA levels were measured within 24 hours of acute myocardial infarction. Results The mean sUA levels were significantly higher in patients with acute myocardial infarction (AMI) in comparison to the control group (6.17 ± 2.12 vs. 5.51 ± 1.89, p-value; 0.01). Overall, there were more patients with hyperuricemia in the case group compared to the control group (47.89% vs. 33.6%, p-value = 0.04) Conclusion In this study, after adjustment of other known factors, hyperuricemia is associated with AMI. Efforts should be made to include screening for hyperuricemia in patients with a high risk of myocardial infarction.
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