open access

Vol 66, No 1 (2008)
Other
Published online: 2008-02-04
Submitted: 2012-12-28
Get Citation


Original article
Renal insufficiency increases mortality in acute coronary syndromes regardless of TIMI risk score

Dariusz Dudek, Bernadeta Chyrchel, Zbigniew Siudak, Rafał Depukat, Michał Chyrchel, Artur Dziewierz, Waldemar Mielecki, Tomasz Rakowski, Łukasz Rzeszutko, Jacek Dubiel
Kardiol Pol 2008;66(1):28-34.

open access

Vol 66, No 1 (2008)
Other
Published online: 2008-02-04
Submitted: 2012-12-28

Abstract


Background:

Non ST-segment elevation acute coronary syndromes (NSTE ACS) are the most frequent cause of admission to intensive care units. Early risk assessment and implementation of optimal treatment are of special importance in these patients. Previous studies have demonstrated that renal insufficiency is an independent risk factor in patients with cardiovascular disease.
Aim:

To assess the effects of renal function on the course of treatment and prognosis in patients with NSTE ACS admitted to hospitals without on-site invasive facilities but with a possibility of immediate transfer to a reference centre with a catheterisation laboratory.
Methods:

Twenty-nine community hospitals without on-site invasive facilities participated in the Krakow Registry of Acute Coronary Syndromes – a prospective, multicentre, web-based, observational registry. Renal insufficiency (RI) was defined as creatinine clearance (CrCl) 60 ml/min (NS). In-hospital mortality among patients remaining on conservative treatment in community hospitals was significantly higher among RI patients (4.0 vs. 0.6%; p

Abstract


Background:

Non ST-segment elevation acute coronary syndromes (NSTE ACS) are the most frequent cause of admission to intensive care units. Early risk assessment and implementation of optimal treatment are of special importance in these patients. Previous studies have demonstrated that renal insufficiency is an independent risk factor in patients with cardiovascular disease.
Aim:

To assess the effects of renal function on the course of treatment and prognosis in patients with NSTE ACS admitted to hospitals without on-site invasive facilities but with a possibility of immediate transfer to a reference centre with a catheterisation laboratory.
Methods:

Twenty-nine community hospitals without on-site invasive facilities participated in the Krakow Registry of Acute Coronary Syndromes – a prospective, multicentre, web-based, observational registry. Renal insufficiency (RI) was defined as creatinine clearance (CrCl) 60 ml/min (NS). In-hospital mortality among patients remaining on conservative treatment in community hospitals was significantly higher among RI patients (4.0 vs. 0.6%; p
Get Citation

Keywords

renal insufficiency; acute coronary syndromes; creatinine clearance; TIMI risk score

About this article
Title


Original article
Renal insufficiency increases mortality in acute coronary syndromes regardless of TIMI risk score

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 66, No 1 (2008)

Pages

28-34

Published online

2008-02-04

Bibliographic record

Kardiol Pol 2008;66(1):28-34.

Keywords

renal insufficiency
acute coronary syndromes
creatinine clearance
TIMI risk score

Authors

Dariusz Dudek
Bernadeta Chyrchel
Zbigniew Siudak
Rafał Depukat
Michał Chyrchel
Artur Dziewierz
Waldemar Mielecki
Tomasz Rakowski
Łukasz Rzeszutko
Jacek Dubiel

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