Author Interviews, Cleveland Clinic, Heart Disease, Kidney Disease / 01.05.2017
Elevated Kidney Biomarker Creatinine Predicts Worse Outcome in STEMI Heart Attack
MedicalResearch.com Interview with:
Mohamed Khayata, MD
Internal Medicine Resident PGY-3
Cleveland Clinic Akron General
Akron, Ohio
MedicalResearch.com: What is the background for this study? What are the main findings?
Response: Previous studies showed that patients with ST-elevation myocardial infarction (STEMI) who had elevated creatinine and/or impaired creatinine clearance on presentation had higher short- and long-term mortality independent of other cardiovascular risk factors.
We used the National Cardiovascular Database Registry to investigate the impact of creatinine levels at the time of presentation on the cardiovascular outcomes in patients who presented with STEMI.
Our study showed that elevated creatinine levels correlated with higher incidence of atrial fibrillation, bleeding, heart failure, and cardiogenic shock during hospital stay after the percutaneous intervention.
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