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Acute kidney injiury in patients with acute coronary syndrome

Korostelev Alexander Sergeevich  (anesthesiologist of the Republican hospital №2-Center of emergency medical care)

Potapov Alexander Filippovich  (Doctor of Medicine, Ammosov North-Eastern Federal University)

Studied the frequency and the degree of impairment of renal function in 25 patients with acute coronary syndrome (ACS). Patients admitted with a diagnosis of ACS with ST-segment elevation– 12 (48,0%) patients; ACS without ST-segment elevation – 7 (28,0%) patients; unstable angina– 6 (24,0%) patients. Analysis more meaningful measure of acute kidney injury (AKI) is a glomerular filtration rate (GFR), revealed a significant decrease in all patients in the 1st and 3rd day, when their values amounted, respectively, while 49,8±8,4 and of 69,4±13,1 ml/min/1,73m2. The distribution of patients in 1 day according to the severity of AKI depending on the values of GFR showed that 7 (28,0%) patients had severe (GFR - 44-30 ml/min/1,73m2), 14 (56,0%) of the average (GFR is 45-59 ml/min/1,73m2), the remaining 4 (16,0%) – mild (GFR 60-80 ml/min/ 1,73 m2) degree of damage to renal function. The study of the dependence of the AKI on the severity of the ACS showed high linear correlation (r = -0,71).

Keywords:Аcute coronary syndrome, acute kidney injury, cardiorenal syndrome, glomerular filtration rate.
 

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Citation link:
Korostelev A. S., Potapov A. F. Acute kidney injiury in patients with acute coronary syndrome // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2017. -№07-08. -С. 123-126
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