Renal replacement therapy in patients with acute myocardial infarction: Rate of use, clinical predictors and relationship with in-hospital mortality

Marenzi, Giancarlo; Cosentino, Nicola; Marinetti, Andrea; Leone, Antonio Maria; Milazzo, Valentina; Rubino, Mara; Metrio, Monica De; Cabiati, Angelo; Campodonico, Jeness; Moltrasio, Marco; Bertoli, Silvio; Cecere, Milena; Mosca, Susanna; Marana, Ivana; Grazi, Marco; Lauri, Gianfranco; Bonomi, Alice; Veglia, Fabrizio; Bartorelli, Antonio L.

doi:10.1016/j.ijcard.2016.12.130

Cited by 15 publications

(8 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Respiratory failure and acute kidney injury are the common complications of AMI. Previous studies have indicated that about 8% of patients with AMI required mechanical ventilation, and 3-4% of patients were treated with hemodialysis or other forms of renal replacement therapy [34, 35]. And the use of these interventions has been proved to be significantly associated with the poor survival of patients [35, 36], which is the same as our results.…”

Section: Discussionsupporting

confidence: 89%

Development and validation of nomogram to predict long-term prognosis of critically ill patients with acute myocardial infarction

Tang

Zha

Zeng

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Acute myocardial infarction (AMI) is a common critical illness in the cardiovascular field, with poor prognosis. This study aimed to construct a nomogram to predict long-term survival of critically ill patients with AMI, which helps to assess severity, guide treatment, and improve prognosis. Methods and results: The clinical data of patients with AMI was extracted from the database MIMIC-III v1.4. The Cox proportional hazards models were performed to identify the independently prognostic factors, and a nomogram for predicting long-term survival of AMI patients was developed based on the multifactor analysis, of which discriminative ability and accuracy was evaluated by concordance index (C-index) and calibration curve. Results: A total of 1202 patients were included in the analysis, of which 841 were divided into the training set and 361 were the validation. Multivariate analysis shown that age, blood urea nitrogen, respiratory rate, SAPSII score, cardiogenic shock, cardiac arrhythmias, and respiratory failure served as the independently predictive factors, which were incorporated into the nomogram. Moreover, the nomogram shown favorable performance for predicting 4-year survival of AMI patients with the C- index of 0.788 [95% confidence interval (CI): 0.763 to 0.813] and 0.783 (95% CI: 0.748 to 0.818) in the training and validation set, respectively. Conclusion: The nomogram we constructed here can accurately predict the long-term survival of patients with AMI.

show abstract

Section: Discussionsupporting

confidence: 89%

Development and validation of nomogram to predict long-term prognosis of critically ill patients with acute myocardial infarction

Tang

Zha

Zeng

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…In several studies, AKI has been noted as an independent predictor of in-hospital mortality in AMI-CS. Those requiring hemodialysis (HD) or RRT carried worse mortality rates (75.74% vs. 51.58%) and length of stay (21.4 vs. 14.4 days) [64,65]. In a Danish cohort where patients with AMI-CS complicated by AKI received RRT, those who did receive RRT had higher inhospital mortality compared with those who did not (62% vs. 36%) [66].…”

Section: Outcomes 41 In-hospital Outcomesmentioning

confidence: 99%

Acute Kidney Injury in Cardiogenic Shock: An Updated Narrative Review

Singh

Kanwar

Sundaragiri

et al. 2021

JCDD

View full text Add to dashboard Cite

Acute myocardial infarction with cardiogenic shock (AMI-CS) is associated with high mortality and morbidity despite advancements in cardiovascular care. AMI-CS is associated with multiorgan failure of non-cardiac organ systems. Acute kidney injury (AKI) is frequently seen in patients with AMI-CS and is associated with worse mortality and outcomes compared to those without. The pathogenesis of AMI-CS associated with AKI may involve more factors than previously understood. Early use of renal replacement therapies, management of comorbid conditions and judicious fluid administration may help improve outcomes. In this review, we seek to address the etiology, pathophysiology, management, and outcomes of AKI complicating AMI-CS.

show abstract

“…20 Second, almost half of our patients required renal replacement therapy, a well-known risk factor for poor outcomes in cardiogenic shock. 21 Third, the type of DSA might have played a role. Although limited by the number of included patients, our study suggests a better prognosis of patients with AMR induced cardiogenic shock due preformed class I DSA compared to de novo class II DSA.…”

Section: Ta B L E 1 (Continued)mentioning

confidence: 99%

Antibody‐mediated rejection induced cardiogenic shock: Too late for conventional therapy

Coutance

Aelst

Hékimian

et al. 2018

Clinical Transplantation

View full text Add to dashboard Cite

show abstract

Renal replacement therapy in patients with acute myocardial infarction: Rate of use, clinical predictors and relationship with in-hospital mortality

Cited by 15 publications

References 38 publications

Development and validation of nomogram to predict long-term prognosis of critically ill patients with acute myocardial infarction

Development and validation of nomogram to predict long-term prognosis of critically ill patients with acute myocardial infarction

Acute Kidney Injury in Cardiogenic Shock: An Updated Narrative Review

Antibody‐mediated rejection induced cardiogenic shock: Too late for conventional therapy

Contact Info

Product

Resources

About