Prognostic significance of serum creatinine concentration for in-hospital mortality in patients with acute myocardial infarction who underwent successful primary percutaneous coronary intervention (from the Heart Institute of Japan Acute Myocardial Infarction [HIJAMI] Registry).

Abstract

This study evaluated the impact of serum creatinine levels on in-hospital mortality in 1,359 consecutive patients with acute myocardial infarction (from a Japanese prospective multicenter registry) who underwent successful primary percutaneous coronary intervention (PCI). Even in the patients who underwent successful primary PCI, the in-hospital mortality of patients with mild (1.2 </= creatinine < 2.0 mg/dl) and severe (creatinine >/=2.0 mg/dl) renal dysfunction was greater (17.1% and 34.5%, respectively) than that of patients without renal dysfunction (3.9%) (relative risk [RR] 1.72, 95% confidence interval [CI] 0.94 to 3.14, p = 0.080; and RR 4.26, 95% CI 1.48 to 12.27, p <0.0001, respectively).

• Authors: Jun-ichi Yamaguchi, Hiroshi Kasanuki, Yasuhiro Ishii, Masahiro Yagi, Hiroshi Ogawa, Shin-ya Fujii, Hiroshi Koganei, Hisayuki Okada, Hirotaka Kimura, Toshinobu Horie, Kazuo Haze, Tetsuya Sumiyoshi, Takashi Honda, HIJC Study Group
• Journal: The American journal of cardiology (Am J Cardiol) Vol. 93 Issue 12 Pg. 1526-8 (Jun 15 2004) ISSN: 0002-9149 [Print] United States
• PMID: 15194026 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Creatinine

Topics

• Aged
• Angioplasty, Balloon, Coronary
• Cohort Studies
• Creatinine (blood)
• Female
• Hospital Mortality
• Humans
• Japan
• Kidney Failure, Chronic (blood, complications)
• Male
• Multicenter Studies as Topic
• Myocardial Infarction (blood, mortality, therapy)
• Predictive Value of Tests
• Prognosis
• Prospective Studies
• Registries