UMEM Educational Pearls

Category: Cardiology

Title: chronic kidney disease and ACS

Keywords: renal failure, kidney disease, acute coronary syndrome, myocardial infarction (PubMed Search)

Posted: 6/8/2008 by Amal Mattu, MD (Updated: 8/15/2022)
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Chronic kidney disease is a risk factor for accelerated atherogenesis. It is also a poor prognostic factor for patients with ACS or after MI. Elevated serum creatinine has been found to be an independent predictor of death after ACS and also a predictor of recurrent cardiovascular events. Cardiovascular death is 10-30 times higher in dialysis patients with ACS than in the general population.

References

  • 2007 Focused Update of the ACC/AHA/SCAI 2005 Guideline Update for Percutaneous Coronary Intervention: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines
  • King S, Smith S, Hirschfeld JW, et al. (many authors). J Am Coll Cardiol 2008;51:172-209.