Naslov
Acute renal failure as a complication of acute myocardial infarction

Autori
Madžar, Željko ; Čubranić, Zlatko ; Zaputović, Luka ; Miškulin, Rajko ; Marinović, Đuro ; Plazonić, Željko ; Padovan, Marijan

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Acta Clinica Croatica. Suplement 1 / - , 2001, 36-37

Skup
9th Alpe Adria Cardiology Meeting

Mjesto i datum
Dubrovnik, Hrvatska; Cavtat, Hrvatska, 06.06.2001. - 09.06.2001

Vrsta sudjelovanja
Poster

Vrsta recenzije
Domaća recenzija

Ključne riječi
Acute renal failure; Acute myocardial infarction

Sažetak
AIM: Acute renal failure (ARF) is a major cause of in-hospital morbidity and mortality usually indicating the serious nature of the underlying disease. ARF complicates approximately 5% of hospital admissions to intensive care units. The aim of this study was to investigate the incidence of ARF in patients with acute myocardial infarction (AMI), revel the influencing factors and assess it's impact on patients' final outcome. METHODS: We analyzed renal function in 434 patients with AMI (266 or 61.3% male, mean age 66.3&plusmn ; 12.8 years) treated in our Coronary Care Unit during 2000. Diagnosis of ARF was based on history, clinical course and laboratory findings, i.e. abrupt increase in serum creatinine from normal to above 150 mmol/L. RESULTS: In 62 (14.3%) patients (39 male, 23 female, mean age 74.6&plusmn ; 8.3 years) AMI was complicated with ARF. The leading cause of ARF was heart failure (40 pts, 64.5%). Other causes were adverse drug effects (6 pts, 9.7%), transient hypotension due to volume depletion (4 pts, 6.4%), or combination of the previous (12 pts, 19.4%). More prone to ARF were patients older than 65 years (21.5% vs. 3.5%, p<0.01), diabetics (21.5% vs. 10%, p<0.05), and patients with heart failure (30% vs. 7%, p<0.01). Patients with ARF complicating AMI had longer hospitalization time (19&plusmn ; 11 vs. 13&plusmn ; 5 days, p<0.02) and higher mortality rate (39% vs. 9%, p<0.01). Significant difference in mean peak serum creatinine level existed between 27 oliguric (44%) and 35 non-oliguric (56%) ARF patients.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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