Prognostic value of kidney function on immediate and short term outcome after revascularization in patients with ST-Segment elevation myocardial infarction (STEMI)

Abstract

One of the most dangerous heart problems, ST-segment elevation myocardial infarction (STEMI) is linked to a wide range of potentially fatal consequences (cardiac and non-cardiac). Renal hypoperfusion and increased renal vascular resistance leading to acute kidney damage are potential outcomes of a STEMI episode characterised by low cardiac output and/or raised right ventricular sided pressure (AKI). The kidney damage caused by AKI may be temporary and resolve on their own, or it can be persistent and lead to the patient developing chronic cardio-renal syndrome (CRS), which has both immediate and long-term consequences. Renal impairment has been linked to poor cardiovascular outcomes, particularly heart failure, suggesting that monitoring renal function should be one of the primary targets of cardiac monitoring programmes.