EFFECT OF ADMISSION ESTIMATED GLOMERULAR FILTRATION RATE ON PROGNOSIS IN ST ELEVATION MYOCARDIAL INFARCTION PATIENTS UNDERGOING PRIMARY PCI

Abstract

Chronic Kidney disease (CKD) is the one of the predictors of complications which occur after percutaneous transcatheter angiography (PCI) and its presence predicts an increased risk for development of contrast induced nephropathy (CIN) and other contributes in other complications as, heart failure and death. CIN is currently defined as an increase in serum creatinine of more than 25% from baseline, and several studies of CKD patients have primary PCIshowed increase the risk of CIN and death. Several studies have identified estimated GFR as a predictor for the prognosis of patients who undergoing primary PCI.Reduced GFR increases cardiovascular risk It may has direct cause on vascular event or death and it is associated with impaired intra-cardiac conduction and diastolic dysfunction deterioration.There is evidence that using eGFR at admission can help in predict the prognosis of the patient.AIM: The aim of this study was to evaluate the impact of admission estimated GFR to expect the in-hospital and 12-month survival rate in patients of STEMI undergoing primary PCI.