Abstract: Objective To explore the correlation between renal insufficiency and the prognosis of patients with acute myocardial infarction (AMI) during hospitalization. Methods One hundred hospitalized patients with AMI were divided into the normal renal function group (A group,n=37), the mild renal insufficiency group (B group, n=30) and the moderate renal insufficiency group (C group,n=33) according to the glomerular filtration rate (GFR). The clinical characteristics, incidence of cardiovascular events during hospitalization, mortality rate and related risk factors were observed. Results Compared to A group, B group and C group had older patients and more female patients, combined with hypertension, heart failure, stroke or history of cerebral ischemia, and cardiac function Fillip grade ≥ grade Ⅱ; the differences were significantly significant (P<0.05). The mortality rates in the hospital and the incidence rates of cardiovascular events in B group and C group were significantly higher than those in A group (P<0.05). Multivariate logistic regression analysis showed that renal insufficiency was a risk factor for mortality in the hospital and cardiovascular events in patients with AMI. Conclusion Renal insufficiency is a common complication in patients with AMI, and it can increase mortality in the hospital and the incidence of cardiovascular events. Renal function detection is of great importance in evaluating the clinical outcomes of patients with AMI.
何敬东,田中,谢嘉平. 肾功能不全对急性心肌梗死患者住院期间心血管事件发生的影响[J]. 医学临床研究, 2017, 34(5): 914-916.
HE Jing-dong, TIAN Zhong, XIE Jia-ping. Correlation between Renal Insufficiency and the Prognosis of Patients with Acute Myocardial Infarction during Hospitalization. JOURNAL OF CLINICAL RESEARCH, 2017, 34(5): 914-916.