Study of acute coronary syndrome in chronic kidney disease patients in Sohag University Hospital | ||||
| Sohag Medical Journal | ||||
| Article 32, Volume 21, Issue 3, October 2017, Page 273-277 PDF (57.77 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/smj.2017.40057 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Tarek Mahmoud Abdellah1; Sharaf Abdallah1; Nayel Abd ELhameed Zaki2; Ali Taha Ali3 | ||||
| 1Department , of Internal Medicine Faculty of Medicine, Sohag University | ||||
| 2Department of Internal Medicine, Faculty of Medicine, Sohag University. | ||||
| 3Department , of Internal medicine, Faculty of Medicine, Sohag University. | ||||
| Abstract | ||||
| Background:Patients with chronic kidney disease have an increased risk of cardiovascular disease compared to the general population. Ischemic heart disease is the most common cause of death in patients with chronic renal disease. Aim of the work:Study of patterns and immediate outcome of acute coronary syndrome in patients with different stages of CKD admitted to sohag university. Patients and methods: this is an observational prospective immediate outcome study including CKD and non-CKD patients with ACS admitted to CCU sohag university hospital within period from 1-11-2016 to 30-4-2017, and Follow up of major cardiac events for 1 month.A detailed history was taken from each patient and full examination was performed . laboratory investigations, ECG , echocardiography and diagnostic coronary angiography were done. Results: CKD patients presented to our CCU with ACS have more risk of complications than non-CKD patients. The most presented complication in CKD patients with ACS is heart failure Conclusion: we conclude that risk factors for ACS in CKD patients more than non-CKD patients. CKD patients with ACS more susceptible to complications rather than non-CKD patients. | ||||
|
Supplementary Files
|
||||
| References | ||||
|
1.O'Hare AM, Choi AI, Bertenthal D, Bacchetti P, Garg AX, Kaufman JS, et al. Age affects outcomes in chronic kidney disease. J Am Soc Nephrol. 2007 Oct. 18(10):2758-65
2.Palmer SC, Di Micco L, Razavian M, et al. Effects of antiplatelet therapy on mortality and cardiovascular and bleeding outcomes in persons with chronic kidney disease: a systematic review and metaanalysis. Annals of internal medicine. Mar 20 2012;156(6):445- 459.
3. Baber U, Auguste U. Patients with chronic kidney disease/diabetes mellitus: the high-risk profile in acute coronary syndrome. Currentcardiology reports. Aug 2013;15(8):386.
4. Medi C, Montalescot G, Budaj A, et al. Reperfusion in patients with renal dysfunction after presentation with ST-segment elevation or left bundle branch block: GRACE (Global Registry of Acute Coronary Events). JACC Cardiovascular interventions. Jan 2009;2(1):26-33.
5. Saltzman AJ, Stone GW, Claessen BE, et al. Long-term impact of chronic kidney disease in patients with ST-segment elevation myocardial infarction treated with primary percutaneous coronary intervention: the HORIZONS-AMI (Harmonizing Outcomes With Revascularization and Stents in Acute Myocardial Infarction) trial. JACC Cardiovascular interventions. Sep 2011;4(9):1011-1019.
6. Levey AS, Coresh J, Balk E, et al. National Kidney Foundation practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Ann Intern Med. 2003;139:137–147.
7. Reiner Z, Catapano AL, De Backer G, et al. ESC Committee for Practice Guidelines (CPG) 2008–2010 and 2010–2012 Committees. ESC/EAS Guidelines for the management of dyslipidaemias: the Task Force for the management of dyslipidaemias of the European Society of Cardiology (ESC) and the European Atherosclerosis Society (EAS). Eur Heart J. 2011;32:1769–1818
8. Levin A, Thompson CR, Ethier J et al. Left ventricular mass index increase in early renal disease: impact of decline in hemoglobin. Am. J. Kidney Dis. 1999; 34: 125–34.
9. International Journal of Nephrology and Renovascular Disease 2016:9 5–10
10.US Renal Data System. USRDS 2004 Annual Data Report. National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases: Bethesda, MD, 2004.
11.Chertow GM, Normand SL, McNeil BJ. 'Renalism': inappropriately low rates of coronary angiography in elderly individuals with renalinsufficiency. J Am Soc Nephrol 2004; 15: 2462–2468. | ||||
|
Statistics Article View: 164 PDF Download: 283 |
||||
