Euthyroid sick syndrome as a prognostic marker in Acute Coronary Syndrome.

Dr Prasanna Kumar Satpathy; Dr Eshan Shinde; Dr Pradnya Diggikar; Dr Neel Patel; Dr Ameya Ithape; Dr Varun Nallamothu; Dr Girija Sachdeo; Dr Shubham Mishra; Dr Shubham Malani; Dr Shubham Agrawal; Dr Kranthi Dandi

Volume : VIII, Issue : I, January - 2019

Euthyroid sick syndrome as a prognostic marker in Acute Coronary Syndrome.

Dr Prasanna Kumar Satpathy, Dr Eshan Shinde, Dr Pradnya Diggikar, Dr Neel Patel, Dr Ameya Ithape, Dr Varun Nallamothu, Dr Girija Sachdeo, Dr Shubham Mishra, Dr Shubham Malani, Dr Shubham Agrawal, Dr Kranthi Dandi

Abstract :

Aim: To study the prevalence of euthyroid sick syndrome in acute coronary syndrome and its effect on complications and mortality of ACS.

Methods: Total 122 patients of ACS were included as per inclusion and exclusion criteria. Thyroid functions were done at day 1, day 3 and in between day 7 to day 30 of the admission. Patients were assessed for in hospital complications of ACS and death.

Results: Total 6 patients (5%) were found to have euthyroid sick syndrome. These patients had statistically significant association with the ACS related complications like arrhythmias, cardiogenic shock and heart failure (p=0.000) and poor left ventricular dysfunction (p = 0.00036). The association of ESS and in hospital mortality was also found to be statistically significant (p=0.0000)

Conclusion: The cases of Euthyroid sick syndrome has significant statistical association with in–hospital complications and mortality.