Frequency of acute kidney injury and its short-term effects after acute myocardial infarction

J Pak Med Assoc. 2017 Nov;67(11):1693-1697.

Abstract

Objective: To find out the frequency of acute kidney injury and its short-term effects after acute myocardial infarction.

Methods: This descriptive, cross-sectional study was conducted at the cardiology department of Lady Reading Hospital's Postgraduate Medical Institute, Peshawar, Pakistan, from January to June 2016, and comprised acute myocardial infarction patients. Non-probability consecutive sampling technique was used. SPSS 20 was used for data analysis.

Results: Of the 207 patients, 154(74.7%) were male and 53(25.6%) were female. The overall mean age was 59.09±8.6 years. At admission, the mean baseline creatinine was 0.97±0.23, the mean glomerular filtration rate was 83.30±25.4 mL/min, and 30(14.4%) patients had an estimated glomerular filtration rate<60 mL/min. Moreover, 43(20.7%) patients developed acute kidney injury. Post-myocardial infarction in-hospital complications were higher in patients with acute kidney injury (p<0.05).

Conclusions: In-hospital, short-term effects including acute heart failure, cardiogenic shock and arrhythmias were higher in acute kidney injury patients after acute myocardial infarction.

Keywords: Acute kidney injury, Acute myocardial infarction, Short-term effects..

MeSH terms

  • Acute Kidney Injury / epidemiology*
  • Acute Kidney Injury / etiology*
  • Aged
  • Cross-Sectional Studies
  • Female
  • Hospitalization
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction / complications*
  • Myocardial Infarction / epidemiology*
  • Pakistan / epidemiology
  • Risk Factors