Characteristics and in Hospital Clinical Outcome of Patients with Non St-Segment Elevation Myocardial Infarction with Chronic Kidney Disease.
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Date
2013
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Abstract
Background: Nearly 40% of patients presenting with Non ST-Segment Elevation Myocardial Infarction
(NSTEMI) have Chronic Kidney Disease (CKD). CKD is a powerful predictor of adverse events among
NSTEMI patients. The purpose of the present study was to evaluate the in-hospital outcome of patients
with Chronic Kidney Disease presenting with Non ST-Segment Elevation Myocardial Infarction.
Methods: In this prospective observational study a total of 128 patients with NSTEMI were enrolled. They
were divided equally in group I (NSTEMI with CKD) and group II (NSTEMI with normal renal function)
on the basis of estimated glomerular filtration rate. Patients were considered to have CKD if he/she had
documented history of CKD or estimated glomerular filtration rate <60 mL/min/1.73 m². Presence of inhospital
complications was identified.
Results: Patients with CKD were significantly older, with a greater prevalence of hypertension, diabetes
mellitus, lower left ventricular ejection fraction, and lower haemoglobin level compared with those without
CKD. CKD patients had more atypical presentation during admission. In-hospital complications were
significantly higher in CKD patients presenting with NSTEMI.
Conclusion: CKD strongly predicts adverse in-hospital outcome among NSTEMI patients.
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Keywords
Non ST-Segment Elevation Myocardial Infarction, Chronic Kidney Disease
Citation
Kabir C M S, Malik F N, Malik A, Haq M M, Taimur S D M, Jahan M. Characteristics and in Hospital Clinical Outcome of Patients with Non St-Segment Elevation Myocardial Infarction with Chronic Kidney Disease. Cardiovascular Journal. 2013; 5(2): 146-153.