FREQUENCY OF ACUTE KIDNEY INJURY IN PATIENTS PRESENTING WITH ACUTE ST ELEVATION MYOCARDIAL INFARCTION

作者：Muhammad Bilal, M. Saif, Rizwan Ali, Waqas Ahmed, Bakht Umar Khan, Saqab Saboor · 发表于：Veredas do Direito · 年份：2025 · DOI：10.18623/rvd.v22.7730

Background:  Acute  Kidney  Injury  (AKI)  was  acknowledged  as  the  major  and  common complication in patients presenting with Acute  ST-Elevation Myocardial  Infarction  (STEMI). Renal impairment of such patients was frequently due to interplay between decreased cardiac output, hypoperfusion of kidneys, exposure to contrast during diagnostic / interventional measures, and overall systemic inflammation. Not only did AKI enhance the cases of short-term morbidity, but it also deteriorated long-term outcomes, such as mortality and readmission rates. Determining the occurrence of AKI and risk factors in STEMI patients was thus essential in the maximization of preventive measures and enhancing the prognosis. Objective: The purpose of the study was to find out how often Acute kidney Injury occurs among patients presenting with Acute ST-Elevation Myocardial Infarction in a tertiary cardiac care unit. Methods: It is an observational, cross-sectional study that was carried out at the Armed Forces Institute of cardiology/National Institute of heart diseases (AFIC/NIHD) between August 2024 and April 2025, nd included 100 patients diagnosed with Acute STEMI, which was confirmed by ECG and cardiac biomarkers. The patients who had had pre-existing chronic kidney disease, contrast exposure or who were hemodynamically unstable before admission were excluded. The creatinine levels of serum were discovered at the time of admission and 48-72 hours following the intervention. The criteria us...