Variations in Post-Operative Electrolyte in Coronary Artery Intervention

Area of Science:

• Cardiology
• Clinical Chemistry

Background:

• Coronary interventions are often associated with overlooked electrolyte level changes.
• Limited research exists on post-coronary intervention electrolyte disturbances.
• This study aims to investigate the impact of coronary angiography on electrolyte levels.

Purpose of the Study:

• To analyze the effect of coronary angiography on pre- and post-intervention electrolyte levels.
• To identify patient groups at higher risk for electrolyte disturbances.
• To assess the correlation between electrolyte changes and clinical factors.

Main Methods:

• Analysis of pre- and post-intervention serum electrolytes (Na+, K+, Cl-, Mg2+) and renal function in 374 patients.
• Assessment of correlations between influential factors and electrolyte changes.
• Evaluation of hypokalemia association with major adverse cardiac events (MACE) and arrhythmia.

Main Results:

• A decrease in potassium levels was observed in 81.8% of patients, with 15.0% experiencing post-interventional hypokalemia.
• Male patients showed a 2.18 times higher incidence of hypokalemia compared to females.
• Hypokalemia was associated with hypertension, diabetes, and gastrointestinal disease, and increased arrhythmia risk.

Conclusions:

• Male patients are more susceptible to electrolyte disturbances after coronary intervention.
• Peri-operative electrolyte monitoring and management are crucial to prevent severe complications.
• Further research is needed to understand the mechanisms and long-term implications.