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| Correlation between Renal Insufficiency and the Prognosis of Patients with Acute Myocardial Infarction during Hospitalization |
| HE Jing-dong, TIAN Zhong, XIE Jia-ping |
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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.
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Received: 07 July 2016
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[1] 曾汇庆,何如平.急性心肌梗死患者肾功能恶化的发生率和预后价值[J].临床心血管病杂志,2013,26(2):127-129.
[2] 陈孝文, 梁海华, 张小玲. 心电图对慢性肾功能不全病情变化判断的参考意义[J].广东医学院学报, 1986(2).
[3] 李小艺.急性心肌梗死合并2型糖尿病患者脂蛋白、尿酸水平及其与心、肾功能和预后的关系[J].中国医药导报,2015,21(22):94-97.
[4] 李超,胡大一,杨进刚,等.肾功能对急性心肌梗死患者院内预后的影响[J].中国医药导刊,2013,10(9):1312-1313.
[5] 李超,胡大一,王建旗,等.急性心肌梗死患者肾功能状态及对预后的影响[J].中国分子心脏病学杂志,2012,12(6):321-324.
[6] 张善春,李斌,杜闻莹,等.急性心肌梗死患者贫血与促红细胞生成素水平和肾功能的关系[J].中国心血管杂志,2014,13(1):27-30.
[7] 孙瑞玥,胡秋善,郑伟,等.前列地尔对行急诊冠状动脉介入治疗术后急性心肌梗死患者肾功能的影响[J].武汉大学学报(医学版),2015,36(4):592-594.
[8] 赵向华.急性心肌梗死患者肾功能减退情况与冠状动脉病变严重性相关性分析[J].河北医学,2014,21(10):1652-1654.
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2017, Vol. 34 
