The effect of early invasive strategy on mortality outcome in patients with chronic kidney disease presenting with non-ST segment elevation myocardial infarction

Autor:	Victor Guetta, B Fishman, Israel M. Barbash, Elad Maor, Paul Fefer, E Itelman, Ehud Grossman, S Matetzky, A Sharon, A Segev
Rok vydání:	2021
Předmět:	Invasive strategy medicine.medical_specialty business.industry medicine.disease Elevation (emotion) Internal medicine medicine Cardiology ST segment In patient Myocardial infarction Cardiology and Cardiovascular Medicine business Kidney disease
Zdroj:	European Heart Journal. 42
ISSN:	1522-9645 0195-668X
Popis:	Background Current guidelines recommend an early invasive strategy for patients with non-ST segment elevation myocardial infarction (NSTEMI). Purpose To evaluate whether early invasive strategy is associated with better outcome among patients with chronic kidney disease (CKD). Methods Retrospective cohort analysis of consecutive patients with NSTEMI between 2008 and 2021. Glomerular filtration rate (eGFR) was estimated using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) creatinine equation. Invasively treated patients were dichotomized into early ( Results Final study population comprised 7,107 NSTEMI patients, of whom 3,172 (45%) had eGFR Conclusion Among invasively treated NSTEMI patients, the benefit of early invasive strategy is modified by CKD, and limited to those with eGFR ≥45 ml/min/1.73m2. Funding Acknowledgement Type of funding sources: None.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::cb1a63ca81889a7327a0879a8164ca26 https://doi.org/10.1093/eurheartj/ehab724.1447 Zobrazit plný text záznamu