Background: Ischemic heart disease is an important death cause in Brazil. The Acute Coronary Syndrome is a subset of signs and symptoms which represents an acute complication of ischemic heart disease. Many of these patients have common risk factors, including renal dysfunction. The analysis of the importance of this commitment in the event of outcomes is still little explored in our midst. Objective: To study the associantion betweent renal dysfunction and the occurrence of deaths in patients with Acute Coronary Syndrome, Methods: This is a analytical study, with patients admitted to the Coronary Care Unit of a Tertiary Hospital (Salvador / BA) diagnosed with acute coronary syndrome, in the period from 2011 to 2014. The patients were divided into three groups according to renal function and two groups according to clinical diagnosis. Results: We identified six hundred seventy-four (n = 674) individuals. Mean age was 69.6 ± 12.4 years and 50.7% (n = 342) were male. Regarding the clinical diagnosis, 49% of patients (n = 331) were diagnosed with Unstable Angina and 50.9% (n = 342) with Acute Myocardial Infarction. The average value of creatinine clearence rate was 63.2 ± 29.3 ml / min (p = 0.001). Conclusion: The severe renal dysfucntion is an important prognostic factor for development of coronary artery disease and was associated with bad prognosis of patients with ACS. The variables DM, hypertension and dyslipidemia were often associated in theses patients.
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