Open AccessFeatures of the acute phase course and outcomes of macrofocal myocardial infarction complicated by ischemic acute renal failure
Author(s) -
E. Yu. Brankovskaya
Publication year - 2022
Publication title -
problemy zdorovʹâ i èkologii
Language(s) - English
Resource type - Journals
eISSN - 2708-6011
pISSN - 2220-0967
DOI - 10.51523/2708-6011.2022-19-1-10
Subject(s) - medicine , myocardial infarction , cardiology , disease , acute kidney injury , adverse effect , acute coronary syndrome , inotrope
Objective. To determine the features of the course and outcomes of macrofocal myocardial infarction (MI) complicated by ischemic acute renal failure. Materials and methods. The study included 173 patients with acute macrofocal MI. The patients were stratified into two study groups based on the functional state of the kidneys at the time of their admission to hospital: 111 patients with MI and ischemic acute renal failure (ARF) (main group) and 62 patients with MI without ARF (comparison group). Results. The patients with MI and ischemic ARF required longer inotropic and/or vasopressor support, more frequent use of intra-aortic balloon counterpulsation, the course of the disease in them was more often complicated by the development of prognostically unfavorable arrhythmias. The patients with MI and ARF compared to the patients without ARF revealed longer mean group time intervals from the onset of pain syndrome to the primary medical contact, a higher number of cases of adverse outcomes within 12 months from the onset of the disease. Conclusion. Patients with macrofocal MI and ischemic ARF are characterized by a more severe course of the MI acute phase, as well as a more frequent development of adverse outcomes within 12 months from the onset of the disease.