ACUTE KIDNEY INJURY IN ST ELEVATION MYOCARDIAL INFARCTION - INCIDENCE, COMORBID CONDITIONS AND ITS SIGNIFICANCE

ASHOK VICTOR; A.SHAIK SULAIMAN MEERAN; M.SUBASHRI

Volume : VII, Issue : IX, September - 2018

ACUTE KIDNEY INJURY IN ST ELEVATION MYOCARDIAL INFARCTION - INCIDENCE, COMORBID CONDITIONS AND ITS SIGNIFICANCE

Ashok Victor, A. Shaik Sulaiman Meeran, M. Subashri

Abstract :

BACKGROUND – The identification and prevention of acute kidney injury (AKI) is very important in a setting of STEMI. OBJECTIVE – To find out the incidence, inhospital mortality and associated comorbid conditions in AKI complicating STEMI. RESULTS – Out of the total 150 patients, 107 patients did not develop AKI and 43 patients developed AKI. Of the 43 patients (28.6%) who developed AKI, 29 patient (19.3%) had Stage I, 10 patients (6.7%) had stage II, and 4 patients(2.7%) had stage III AKI. . The comparison between mortality and AKI shows highly significant p value =0.001 which means that the presence of AKI has higher mortality rate (30.2%) than the non AKI patients (9.3%). The percentage of patients who underwent thrombolysis with Non–AKI group was 59% and that of AKI group was 86.0% showing a high statistical significance with p value=0.002. CONCLUSION – Development of AKI in STEMI significantly increased inhospital mortality.