Significance of C-Reactive Protein in Patients with ST-Elevation Myocardial Infarction Over Non-ST-Elevation Myocardial Infarction

  • Shahzadi Anum Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Javed Ahmad Khan Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Fuad Ahmad Siddiqi Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Faryal Asmat Fauji Foundation Hospital, Rawalpindi Pakistan
Keywords: Creactive protein, Non-ST-elevation myocardial infarction, ST-elevation myocardial infarction

Abstract

Objective: To assess the use of C-reactive protein in patients with STEMI and NSTEMI to differentiate between the type of myocardial infarction at our hospital.

Study Design: Comparative cross-sectional study.

Place and Duration of Study: Department of Medicine, Pak Emirates Military Hospital, Rawalpindi and Armed Force Institute of Cardiology & National Institute of Heart Disease, from Mar 2020 to Feb 2022.

Methodology: Patients diagnosed with MI by a consultant cardiologist were included in the study. They underwent all baseline investigations, including C reactive protein, at the time of presentation to a cardiac emergency. The treating consultant diagnosed MI (ST elevation or non-ST elevation) based on electrocardiogram findings. Values of C reactive protein and other socio-demographic variables were compared in both groups (patients with and without ST elevation MI).

Results: A total of 3500 patients with myocardial infarction were included in the final analysis. 2219(63.4%) had NSTEMI,while 1281(36.6%) had STEMI. Statistical analysis showed that C-reactive protein levels were not statistically different in both groups (p-value-0.375), but gender and Creatinine kinase myocardial bound levels were different in patients with non-ST elevation myocardial infarction and ST-elevation myocardial infarction (p-value<0.001).

Conclusion: Raised levels of C reactive protein were not statistically significantly different in ST-elevation myocardial infarction and non-ST elevation myocardial infarction patients. CKMB may give a better clue for differentiation between these two types of myocardial infarctions.
Keywords: Creactive protein, Non-ST-elevation myocardial infarction, ST-elevation myocardial infarction.

Downloads

Download data is not yet available.
Published
2023-01-03
How to Cite
Anum, S., Khan, J. A., Siddiqi, F. A., & Asmat, F. (2023). Significance of C-Reactive Protein in Patients with ST-Elevation Myocardial Infarction Over Non-ST-Elevation Myocardial Infarction. Pakistan Armed Forces Medical Journal, 72(6), 2139-42. https://doi.org/10.51253/pafmj.v72i6.8873
Section
Original Articles

Most read articles by the same author(s)