International Journal of Cardiovascular ResearchISSN: 2324-8602

Reach Us +1 850 900 2634

Research Article, Int J Cardiovasc Res Vol: 4 Issue: 1

Effect of Primary Percutaneous Coronary Intervention on Renal Function in Acute ST Elevation Myocardial Infarction

Georgios C Lygouris1, Vinay Mehta1, Shuchita Gupta1, D Lynn Morris1,2 and Vincent M Figueredo1,2*
1Einstein Medical Center, Philadelphia, USA
2Sidney Kimmel College of Medicine, Thomas Jefferson University, Philadelphia, USA
Corresponding author : Vincent M. Figueredo, MD
Einstein Heart and Vascular Institute, 5501 Old York Road, 19141, Philadelphia, USA
Tel: 215-456-8819; Fax: 215-456-3533
E-mail: [email protected]
Received: November 21, 2014 Accepted: December24, 2014 Published: January 01, 2015
Citation: Lygouris CG, Mehta V, Gupta S, Morris LD, Figueredo VM, et al. (2015) Effect of Primary Percutaneous Coronary Intervention on Renal Function in Acute ST Elevation Myocardial Infarction. Int J Cardiovasc Res 4:1. doi:10.4172/2324-8602.1000193

Abstract

 Effect of Primary Percutaneous Coronary Intervention on Renal Function in Acute ST Elevation Myocardial Infarction

Objectives: Assess the effect of primary percutaneous coronary intervention (PCI) on renal function in the setting of acute ST elevation myocardial infarction (STEMI). Methods: Retrospective chart review of 270 STEMI patients that underwent primary PCI. Creatinine clearance was calculated using the re-expressed 4–variable Modification of Diet in Renal Disease (MDRD) formulas upon presentation to emergency room and prior to discharge from hospital or death. Results: Mean creatinine level upon presentation was 1.14 ± 0.43 mg/dl and upon discharge 1.07 ± 0.51 mg/dl (p=0.013). Mean CrCl on admission was 77 ± 27 ml/min/1.73m2 and improved to 86 ± 31 ml/min/1.73m2 upon discharge (p<0.001). This improvement was observed in patients with all stages of chronic kidney disease (CKD), including stage III (47 ± 9 vs 55 ± 18 ml/min/1.73m2, p=0.001) and stage IV (24 ± 4 vs 29 ± 10 ml/min/1.73m2; p=0.13). Statistically significant improvement in CrCl (79 ± 28 vs. 86 ± 31 ml/min/1.73m2, p < 0.001) was observed in African American patients (72% of study group). Conclusion: In STEMI patients, primary PCI does not appear to be associated with worsening, but rather an improvement, in renal function upon hospital discharge.

Keywords: Creatinine clearance, percutaneous coronary intervention, ST elevation myocardial infarction

Track Your Manuscript

Share This Page

Media Partners