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

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

Open Access
|Nov 2022

Figures & Tables

Table 1

The groups were comparable in terms of drugs received

Drugs receivedGroup 1
n = 116
Group 2
n = 120
Group 3
n = 115
p-value
Aspirin100%100%100%
Clopidogrel100%100%100%
Heparin and LMWHs100%100%100%
Statins100%100%100%
B-blockers83.6%84.2%88.7%0.49
ACE inhibitors or ARBs83.6%88.3%91.3%0.2
Aldosterone antagonists33.6%34.2%29.6%0.72
Calcium antagonist22.4%20.8%13.9%0.22
Loop diuretics38.8%35.8%32.2%0.58

[i] LMWHs, low molecular weight heparins; ACE, angiotensin-converting enzyme; ARBs, angiotensin II receptor blockers

Table 2

Baseline comparability of the study groups

VariablesGroup 1
n = 116
Group 2
n = 120
Group 3
n=115
p-value
GFR (ml/min/1.73 m2)48.2 ± 10.474.7 ± 8.7104.1 ±14.6< 0.001
Age, years66.2±10.166.2±9.164.5±6.80.23
Male64.7%65%75.7%0.12
Hypertension68.1%69.2%63.5%0.62
Diabetes22.4%23.3%24.3%0.94
PMI11.2%10%4.3%0.14
Anterior STEMI46.6%42.5%40%0.6
Patients with multivessel disease46.6%52.5%41.7%0.25
Patients who underwent complete revascularisation7.8%13.3%10.4%0.38
Killip > II class at the time of admission3.4%2.5%0.9%0.41
LV EF39.1±8.5%44.5±3.2%41.9±6.8%0.16
Used contrast volume (ml)234.8±65.1231.7±63.7224.5±230.34

[i] GFR, glomerular filtration rate; STEMI, ST-elevation myocardial infarction; PMI, prior myocardial infarction; LV EF left ventricular ejection fraction

Table 3

Effect of glomerular filtration rate on in-hospital complications

Outcome variableGroup 1
n = 116
Group 2
n = 120
Group 3
n = 115
p Value
ALE and CS10.3%5.8%0.9%< 0.05
Pulseless VT or VF2.6%3.3%0.9%> 0.05
AF or AFL12.1%5.8%3.5%< 0.05
In-hospital pneumonia13.8%6.7%4.3%< 0.05
In-hospital death3.4%0.8%0>0.05
CIN needing dialysis1.7%00> 0.05

[i] ALE, acute lung oedema; CS, cardiogenic shock; VT, ventricular tachycardia; VF, ventricular fibrillation; AF, atrial fibrillation; AFL, atrial flutter; CIN contrast-induced nephropathy

DOI: https://doi.org/10.2478/rjc-2022-0023 | Journal eISSN: 2734-6382 | Journal ISSN: 1220-658X
Language: English, Romanian
Page range: 144 - 148
Published on: Nov 11, 2022
Published by: Romanian Society of Cardiology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2022 Harutyun Petrosyan, Hamlet Hayrapetyan, Shahen Torozyan, Arsen Tsaturyan, Vache Buniatyan, Surik Sedrakyan, published by Romanian Society of Cardiology
This work is licensed under the Creative Commons Attribution 4.0 License.