<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec><h3>Objective</h3>
<p>The goal of this study was to examine in-hospital complications in patients with acute ST-elevation myocardial infarction with a different renal function.</p>
</sec>
<sec><h3>Methods</h3>
<p>351 patients were included in the study. Percutaneous coronary intervention was performed on all patients. 116 had a glomerular filtration rate &lt; 60 ml/min/1.73 m<sup>2</sup> (Group 1), 120 ≥ 60 ml/min/1.73 m<sup>2</sup> and &lt; 90 ml/min/1.73 m<sup>2</sup> (Group 2) and 115 ≥ 90 ml/min/1.73 m<sup>2</sup> (Group 3). Other parameters in the groups were comparable. The composite rate of acute pulmonary oedema and cardiogenic shock, in-hospital pneumonia, pulseless ventricular tachycardia or ventricular fibrillation, new-onset atrial fibrillation or atrial flutter, and in-hospital death were all compared among study groups.</p>
</sec>
<sec><h3>Results</h3>
<p>Mean glomerular filtration rate in Group 1 was 48.2±10.4; in Group 2, 74.7±8.7; and in Group 3, 104.1±14.6 (p &lt; 0.001). The incidence of atrial fibrillation or atrial flutter was higher in Group 1 than in Groups 2 and 3: 12.1%, 5.8%, and 3.5%, respectively (p &lt; 0.05). Group 3 had significantly lower rates of acute pulmonary oedema and cardiogenic shock than Groups 1 and 2: 10.3%, 5.8%, and 0.9%, respectively (p &lt; 0.05). There was also a significant difference between groups when comparing the rate of in-hospital pneumonia: Group 1 had reasonably higher rates of in-hospital pneumonia than Group 2 and Group 3: 13.8%, 6.7%, and 4.3% (p &lt; 0.05), respectively. The authors discovered no significant differences in additional complications: pulseless ventricular tachycardia or ventricular fibrillation occurred in 2.6%, 3.3%, and 0.9%, respectively (p > 0.05). in-hospital death was 3.4% in Group 1; 0.8% in Group 2: and 0 in Group 3, (p > 0.05).</p>
</sec>
<sec><h3>Conclusion</h3>
<p>Patients with lower glomerular filtration rate were more likely to develop in-hospital acute pulmonary oedema and cardiogenic shock, pneumonia, and new-onset atrial fibrillation or atrial flutter in ST-elevation myocardial infarction.</p>
</sec>
</abstract>

Objective
The goal of this study was to examine in-hospital complications in patients with acute ST-elevation myocardial infarction with a different renal function.

Methods
351 patients were included in the study. Percutaneous coronary intervention was performed on all patients. 116 had a glomerular filtration rate < 60 ml/min/1.73 m2 (Group 1), 120 ≥ 60 ml/min/1.73 m2 and < 90 ml/min/1.73 m2 (Group 2) and 115 ≥ 90 ml/min/1.73 m2 (Group 3). Other parameters in the groups were comparable. The composite rate of acute pulmonary oedema and cardiogenic shock, in-hospital pneumonia, pulseless ventricular tachycardia or ventricular fibrillation, new-onset atrial fibrillation or atrial flutter, and in-hospital death were all compared among study groups.

Results
Mean glomerular filtration rate in Group 1 was 48.2±10.4; in Group 2, 74.7±8.7; and in Group 3, 104.1±14.6 (p < 0.001). The incidence of atrial fibrillation or atrial flutter was higher in Group 1 than in Groups 2 and 3: 12.1%, 5.8%, and 3.5%, respectively (p < 0.05). Group 3 had significantly lower rates of acute pulmonary oedema and cardiogenic shock than Groups 1 and 2: 10.3%, 5.8%, and 0.9%, respectively (p < 0.05). There was also a significant difference between groups when comparing the rate of in-hospital pneumonia: Group 1 had reasonably higher rates of in-hospital pneumonia than Group 2 and Group 3: 13.8%, 6.7%, and 4.3% (p < 0.05), respectively. The authors discovered no significant differences in additional complications: pulseless ventricular tachycardia or ventricular fibrillation occurred in 2.6%, 3.3%, and 0.9%, respectively (p > 0.05). in-hospital death was 3.4% in Group 1; 0.8% in Group 2: and 0 in Group 3, (p > 0.05).

Conclusion
Patients with lower glomerular filtration rate were more likely to develop in-hospital acute pulmonary oedema and cardiogenic shock, pneumonia, and new-onset atrial fibrillation or atrial flutter in ST-elevation myocardial infarction.

The Influence of Renal Function on In-Hospital Complications in Patients with ST-Elevation Myocardial Infarction

Romanian Journal of Cardiology

This work is licensed under the Creative Commons Attribution 4.0 International License.

Objective
The goal of this study was to examine in-hospital complications in patients with acute ST-elevation myocardial infarction with a different renal function.

Methods
351 patients were included in the study. Percutaneous coronary intervention was performed on all patients. 116 had a glomerular filtration rate  0.05). in-hospital death was 3.4% in Group 1; 0.8% in Group 2: and 0 in Group 3, (p > 0.05).

Conclusion
Patients with lower glomerular filtration rate were more likely to develop in-hospital acute pulmonary oedema and cardiogenic shock, pneumonia, and new-onset atrial fibrillation or atrial flutter in ST-elevation myocardial infarction.

Objective
The goal of this study was to examine in-hospital complications in patients with acute ST-elevation myocardial infarction with a different renal...

The Influence of Renal Function on In-Hospital Complications in Patients with ST-Elevation Myocardial Infarction

Article Category: Original Article

Publié en ligne: 11 nov. 2022

Pages: 144 - 148

DOI: https://doi.org/10.2478/rjc-2022-0023

Mots clés
acute coronary syndrome, ST-elevation myocardial infarction, percutaneous coronary intervention, renal dysfunction, glomerular filtration rate

© 2022 Harutyun Petrosyan et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

The Influence of Renal Function on In-Hospital Complications in Patients with ST-Elevation Myocardial Infarction

Article Category: Original Article

Publié en ligne: 11 nov. 2022

Pages: 144 - 148

DOI: https://doi.org/10.2478/rjc-2022-0023

Mots clésacute coronary syndrome, ST-elevation myocardial infarction, percutaneous coronary intervention, renal dysfunction, glomerular filtration rate

© 2022 Harutyun Petrosyan et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Mots clés
acute coronary syndrome, ST-elevation myocardial infarction, percutaneous coronary intervention, renal dysfunction, glomerular filtration rate