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Acute kidney injury in patients with acute coronary syndromes

Acute kidney injury (AKI) is increasingly being seen in patients with acute coronary syndromes (ACSs). This condition has a complex pathogenesis, an incidence that can reach 30% and it is associated with higher short-term and long-term morbidity and mortality. Nevertheless, AKI is still characterise... Full description

Journal Title: Heart 2015, Vol.101 (22), p.1778-1785
Main Author: Marenzi, Giancarlo
Other Authors: Cosentino, Nicola , Bartorelli, Antonio L
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: England: British Medical Association
ID: ISSN: 1355-6037
Link: https://www.ncbi.nlm.nih.gov/pubmed/26243789
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title: Acute kidney injury in patients with acute coronary syndromes
format: Article
creator:
  • Marenzi, Giancarlo
  • Cosentino, Nicola
  • Bartorelli, Antonio L
subjects:
  • Abridged Index Medicus
  • Acute coronary syndrome
  • Acute Coronary Syndrome - blood
  • Acute Coronary Syndrome - complications
  • Acute coronary syndromes
  • Acute Kidney Injury - blood
  • Acute Kidney Injury - complications
  • Acute Kidney Injury - diagnosis
  • Cardiac patients
  • Care and treatment
  • Chronic Disease
  • Complications and side effects
  • Creatinine - metabolism
  • Disease Progression
  • Glomerular Filtration Rate - physiology
  • Health aspects
  • Heart attacks
  • Humans
  • Kidney diseases
  • Kidney Failure, Chronic - etiology
  • Mortality
  • Myocardial Infarction - complications
  • Prognosis
  • Risk factors
  • Studies
  • Terminology as Topic
ispartof: Heart, 2015, Vol.101 (22), p.1778-1785
description: Acute kidney injury (AKI) is increasingly being seen in patients with acute coronary syndromes (ACSs). This condition has a complex pathogenesis, an incidence that can reach 30% and it is associated with higher short-term and long-term morbidity and mortality. Nevertheless, AKI is still characterised by lack of a single accepted definition, unclear pathophysiology understanding and insensitive diagnostic tools that make its detection difficult, particularly in the setting of ACS. Recent data suggested that patients with AKI during ACS, even those in whom renal function seems to fully recover, face an increased, persisting risk of future AKI and may develop chronic kidney disease. Thus, in these patients, nephrology follow-up, after hospital discharge, and secondary preventive measures should possibly be implemented. In this review, we aim at providing a framework of knowledge to increase cardiologists’ awareness of AKI, with the goal of improving the outcome of patients with ACS.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 1355-6037
fulltext: fulltext
issn:
  • 1355-6037
  • 1468-201X
url: Link


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descriptionAcute kidney injury (AKI) is increasingly being seen in patients with acute coronary syndromes (ACSs). This condition has a complex pathogenesis, an incidence that can reach 30% and it is associated with higher short-term and long-term morbidity and mortality. Nevertheless, AKI is still characterised by lack of a single accepted definition, unclear pathophysiology understanding and insensitive diagnostic tools that make its detection difficult, particularly in the setting of ACS. Recent data suggested that patients with AKI during ACS, even those in whom renal function seems to fully recover, face an increased, persisting risk of future AKI and may develop chronic kidney disease. Thus, in these patients, nephrology follow-up, after hospital discharge, and secondary preventive measures should possibly be implemented. In this review, we aim at providing a framework of knowledge to increase cardiologists’ awareness of AKI, with the goal of improving the outcome of patients with ACS.
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subjectAbridged Index Medicus ; Acute coronary syndrome ; Acute Coronary Syndrome - blood ; Acute Coronary Syndrome - complications ; Acute coronary syndromes ; Acute Kidney Injury - blood ; Acute Kidney Injury - complications ; Acute Kidney Injury - diagnosis ; Cardiac patients ; Care and treatment ; Chronic Disease ; Complications and side effects ; Creatinine - metabolism ; Disease Progression ; Glomerular Filtration Rate - physiology ; Health aspects ; Heart attacks ; Humans ; Kidney diseases ; Kidney Failure, Chronic - etiology ; Mortality ; Myocardial Infarction - complications ; Prognosis ; Risk factors ; Studies ; Terminology as Topic
ispartofHeart, 2015, Vol.101 (22), p.1778-1785
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abstractAcute kidney injury (AKI) is increasingly being seen in patients with acute coronary syndromes (ACSs). This condition has a complex pathogenesis, an incidence that can reach 30% and it is associated with higher short-term and long-term morbidity and mortality. Nevertheless, AKI is still characterised by lack of a single accepted definition, unclear pathophysiology understanding and insensitive diagnostic tools that make its detection difficult, particularly in the setting of ACS. Recent data suggested that patients with AKI during ACS, even those in whom renal function seems to fully recover, face an increased, persisting risk of future AKI and may develop chronic kidney disease. Thus, in these patients, nephrology follow-up, after hospital discharge, and secondary preventive measures should possibly be implemented. In this review, we aim at providing a framework of knowledge to increase cardiologists’ awareness of AKI, with the goal of improving the outcome of patients with ACS.
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pmid26243789
doi10.1136/heartjnl-2015-307773