BACKGROUNDAcute coronary syndrome (ACS) included the spectrum of conditions from unstable angina, non-ST segment elevation myocardial infarction (NSTEMI), ST segment elevation myocardial infarction (STEMI) and these serious cardiovascular conditions causes major morbidity and mortality throughout the world. In various studies, it has been found that renal dysfunction in patient with ac ute coronary syndrome act as independent risk factor and cases increased mortality and morbidity. It is found that patient with moderate and severe renal dysfunction were almost two to four time more likely to die compared to patients with normal or minimal rena l dysfunction. Renal function has been shown in epidemiological studies and clinical trials to be independent predictor of survival.