Impact of Chronic Kidney Disease in Early Invasive versus Early Conservative Revascularization Strategies in Non-ST-Segment Elevation Acute Coronary Syndromes: A Population-Based Study from NHIRD of Taiwan

2013 ◽  
Vol 124 (1-2) ◽  
pp. 38-46 ◽  
Author(s):  
Chun-Yuan Chu ◽  
Ho-Ming Su ◽  
Po-Chao Hsu ◽  
Wen-Hsien Lee ◽  
Tsung-Hsien Lin ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Acute Coronary Syndromes ◽  
Population Based ◽  
Population Based Study ◽  
St Segment Elevation ◽  
St Segment ◽  
Coronary Syndromes

Chronic Kidney Disease in Patients with Non–ST-Segment Elevation Acute Coronary Syndromes

2006 ◽  
Vol 119 (3) ◽  
pp. 248-254 ◽  
Author(s):  
Jin H. Han ◽  
Abhinav Chandra ◽  
Jyotsna Mulgund ◽  
Matthew T. Roe ◽  
Eric D. Peterson ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Acute Coronary Syndromes ◽  
St Segment Elevation ◽  
St Segment ◽  
Coronary Syndromes

scholarly journals Prognostic Value of Troponins in Patients with Non-ST-segment Elevation Acute Coronary Syndromes and Chronic Kidney Disease

2008 ◽  
Vol 31 (3) ◽  
pp. 125-129 ◽  
Author(s):  
Chiara Melloni ◽  
Karen P. Alexander ◽  
Sarah Milford-Beland ◽  
L. Kristin Newby ◽  
Lynda A. Szczech ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Acute Coronary Syndromes ◽  
Prognostic Value ◽  
St Segment Elevation ◽  
St Segment ◽  
Coronary Syndromes

scholarly journals Acute Coronary Syndromes in Chronic Kidney Disease: Clinical and Therapeutic Characteristics

Medicina ◽  
2020 ◽  
Vol 56 (3) ◽  
pp. 118 ◽  
Author(s):  
Mădălina Ioana Moisi ◽  
Marius Rus ◽  
Simona Bungau ◽  
Dana Carmen Zaha ◽  
Diana Uivarosan ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery Disease ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Acute Coronary Syndromes ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
St Segment ◽  
Coronary Syndromes ◽  
Artery Disease

Background and Objectives: This study evaluated the clinical characteristics of the acute coronary syndromes (ACS) in chronic kidney disease (CKD) patients and established prognostic values of the biomarkers and echocardiography. Materials and Methods: 273 patients admitted to the cardiology department of the Clinical County Emergency Hospital of Oradea, Romania, with ACS diagnosis were studied. Two study groups were formed according to the presence of CKD (137 patients with ACS + CKD and 136 with ACS without CKD). Kidney Disease: Improving Global Outcomes (KDIGO) threshold was used to assess the stages of CKD. Results: Data regarding the medical history, laboratory findings, biomarkers, echocardiography, and coronary angiography were analysed for both groups. ACS parameters were represented by ST-segment elevation myocardial infarction (STEMI), which revealed a greater incidence in subjects without CKD (43.88%); non-ST-segment elevation myocardial infarction (NSTEMI), characteristic for the CKD group (28.47%, with statistically significance p = 0.04); unstable angina and myocardial infarction with nonobstructive coronary arteries (MINOCA). Diabetes mellitus, chronic heart failure, previous stroke, and chronic coronary syndrome were more prevalent in the ACS + CKD group (56.93%, p < 0.01; 41.61%, p < 0.01; 18.25%, p < 0.01; 45.26%, p < 0.01). N-terminal pro b-type natriuretic peptide (NT-proBNP) was statistically higher (p < 0.01) in patients with CKD; Killip class 3 was evidenced more frequently in the same group (p < 0.01). Single-vessel coronary artery disease (CAD) was statistically more frequent in the ACS without CKD group (29.41%, p < 0.01) and three-vessel CAD or left main coronary artery disease (LMCA) were found more often in the ACS + CKD group (27.01%, 14.6%). Conclusions: Extension of the CAD in CKD subjects revealed an increased prevalence of the proximal CAD, and the involvement of various coronary arteries is characteristic in these patients. Biomarkers and echocardiographic elements can outline the evolution and outcomes of ACS in CKD patients.

VALUE OF ST-SEGMENT ELEVATION IN LEAD AVR IN PREDICTING LEFT MAIN AND OR 3-VESSEL DISEASE IN PATIENTS WITH ACUTE CORONARY SYNDROMES

2017 ◽  
pp. 59-63
Author(s):  
Thanh Hung Dieu ◽  
Anh Vu Nguyen
Keyword(s):  
Predictive Value ◽  
Acute Coronary Syndromes ◽  
Independent Predictor ◽  
Left Main ◽  
St Segment Elevation ◽  
Vessel Disease ◽  
St Segment ◽  
Coronary Syndromes ◽  
Lead Avr ◽  
Sensitivity Specificity

Objects: We assessed the ability of ST-segment elevation in lead aVR to predict left main and/or 3-vessel disease (LM/3VD) in patients with acute coronary syndromes (ACS). Meterial and Method: 410 patients with ACS, who underwent coronary angiography, were evaluated. Results: 131 (31.9%) patients have been LM/3VD. ST segment elevation > 0.05 mV in leads aVR have been an independent predictor LM/3VD with sensitivity, specificity, positive predictive value PPV) and negative predictive value (NPV) 74.0%, 78.1%, 61.4% and 86.5%, respectively (p<0.001). ST segment elevation > 0.05 mV in leads aVR with ST segment depression in leads V4-V6 have related LM/3VD with sensitivity, specificity, PPV and NPV 44.3%, 92.8%, 74.4% and 75.2%, respectively (p<0.001). ST segment elevation > 0.1 mV in leads aVR have related LM/3VD with sensitivity, specificity, PPV and NPV 51.9%, 87.1%, 65.1% and 79.4%, respectively (p<0.001). Conclusions: ST segment elevation > 0.05 mV in leads aVR have been an independent predictor LM/3VD in patients with ACS. Key words: Acute coronary syndromes, ST-segment elevation, aVR

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