Assessment of Risk Factor for Developing Acute Kidney Injury in the Setting of Acute ST Elevation Myocardial Infarction
Keywords:acute kidney injury, ST elevation myocardial infarction
Background: An acute kidney injury (AKI) is a recognized complication in patients with ST elevation
myocardial infarction (STEMI) by several mechanisms and it adversely affects morbidity and mortality on
long-term bases (1, 2, and 3). Few studies have investigated which patients with STEMI are at risk of developing
AKI (6), and this study is aiming to do this assessment.
Patients and Methods: We enrolled patients with STEMI who were admitted to the CCU. KDIGO
definitions was utilized to search for development of AKI in these patients throughout their stay in the
CCU (their baseline serum creatinine was measured and traced daily thereafter; and their urine output was
monitored). Common epidemiological and some relevant medical parameters were recorded for all patients.
Results and conclusion: low baseline systolic blood pressure, ejection fraction % and estimated glomerular
filtration rate (eGFR); in addition to use of diuretics; are the major risk factors for the development of AKI
in the setting of STEMI.
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