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Corticosteroids helped increase LFnu values in adrenal insufficiency group.
On the contrary, patients without diabetes and renal insufficiency (Group I) had less severe adverse clinical outcomes following AMI than diabetic patients without renal insufficiency (Group II).
Eleven of 15 patients with definite adrenal insufficiency (group 3) underwent steroid supplementation (Table 3).
Mean serum levels of haemoglobin were significantly lower in the renal insufficiency group.
Ventilator dependence was more frequent in adrenal insufficiency (group 3), but the difference was not statistically significant.
Further analysis revealed that, in terms of survival, patients with adrenal insufficiency (group 3) had significantly longer ventilator use and hospital stay.
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In patients with renal insufficiency (Groups III and IV), the same was observed (30.5% versus 36.5%, respectively; p = 0.002).
Of interest, subjects in both vitamin D deficiency and insufficiency groups had significantly lower LPL values than those in vitamin D sufficiency group (P < 0.05).
ICU mortality also varied between the three groups, being only numerically higher in both the deficiency and insufficiency groups compared to patients with vitamin D sufficiency.
In our study, renal insufficiency groups (Group III and IV) had higher composite MACE occurrence and mortality after a 12-month follow-up as compared with groups with no renal insufficiency.
Similarly, in our study, angiographic findings such as left main coronary artery disease and ACC/AHA lesion scores were more severe in renal insufficiency than in non-renal insufficiency groups.
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