PMID- 27122736
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20160428
LR  - 20201001
IS  - 1011-6842 (Print)
IS  - 1011-6842 (Linking)
VI  - 29
IP  - 5
DP  - 2013 Sep
TI  - Chronic Kidney Disease, But Not Diabetes, Can Predict 30-Day Outcomes in Patients 
      with ST-Elevation Myocardial Infarction after Primary Percutaneous Coronary 
      Intervention: A Single-Center Experience.
PG  - 395-403
AB  - BACKGROUND: Patients with acute coronary syndrome and impaired renal function 
      have been shown to have high mortality. However, there is scarce literature to 
      date addressing the impact of diabetes mellitus (DM) and renal function on 
      clinical outcomes of ST elevation myocardial infarction (STEMI) in Taiwan. 
      METHOD: This study enrolled 512 STEMI patients who received primary percutaneous 
      coronary intervention. Patients were divided into 4 groups including group 1: 
      patients without DM or CKD (nDM-nCKD); group 2: patients with DM but without CKD 
      (DM-nCKD); group 3: patients with CKD but without DM (nDM-CKD); group 4: patients 
      with DM and CKD (DM-CKD). Patients were also classified into four groups based on 
      their estimated glomerular filtration rates (eGFR): stage 1 (eGFR >/= 90 
      ml/min/1.73 m(2), n = 163), stage 2 (eGFR = 89-60 ml/min/1.73 m(2), n = 171), 
      stage 3 (eGFR = 59-30 ml/min/1.73 m(2), n = 136), and stage 4 (eGFR < 30 
      ml/min/1.73 m(2), n = 42). The complication rates, length of hospital stay, and 
      30-day outcomes were analyzed. RESULTS: The patients in both the nDM-CKD group 
      and DM-CKD group had higher incidences of hypotension, intra-aortic balloon 
      counterpulsation use, and respiratory failure (p < 0.005). They had significantly 
      longer hospital stay and 30-day mortality rates (p < 0.001). The patients with 
      CKD stage 3 and 4 had longer hospital stay and higher 30-day mortality rates (p < 
      0.001). However, DM was not an independent factor on the length of hospital stay 
      and 30-day mortality rates. CONCLUSIONS: STEMI patients with impaired renal 
      function, but not DM, had significantly longer hospital stay and higher 30-day 
      mortality rates. KEY WORDS: Chronic kidney disease; Diabetes mellitus; Mortality; 
      Primary percutaneous coronary intervention; ST-segment elevation myocardial 
      infarction.
FAU - Hung, Cheng-Chung
AU  - Hung CC
AD  - Cardiovascular Medical Center, Kaohsiung Veterans General Hospital, Kaohsiung, 
      Taiwan;
FAU - Huang, Wei-Chun
AU  - Huang WC
AD  - Cardiovascular Medical Center, Kaohsiung Veterans General Hospital, Kaohsiung, 
      Taiwan; ; School of Medicine, National Yang-Ming University, Taipei, Taiwan; ; 
      Department of Physical Therapy, Fooyin University;
FAU - Chiou, Kuan-Rau
AU  - Chiou KR
AD  - Cardiovascular Medical Center, Kaohsiung Veterans General Hospital, Kaohsiung, 
      Taiwan; ; School of Medicine, National Yang-Ming University, Taipei, Taiwan;
FAU - Cheng, Chin-Chang
AU  - Cheng CC
AD  - Cardiovascular Medical Center, Kaohsiung Veterans General Hospital, Kaohsiung, 
      Taiwan; ; School of Medicine, National Yang-Ming University, Taipei, Taiwan;
FAU - Kuo, Feng-Yu
AU  - Kuo FY
AD  - Cardiovascular Medical Center, Kaohsiung Veterans General Hospital, Kaohsiung, 
      Taiwan;
FAU - Yang, Jin-Shiou
AU  - Yang JS
AD  - Department of Physical Therapy, Fooyin University;
FAU - Lin, Ko-Long
AU  - Lin KL
AD  - Department of Physical Medicine and Rehabilitation, Kaohsiung Veterans General 
      Hospital, Kaohsiung, Taiwan;
FAU - Chiang, Cheng-Hung
AU  - Chiang CH
AD  - Cardiovascular Medical Center, Kaohsiung Veterans General Hospital, Kaohsiung, 
      Taiwan;
FAU - Hsiao, Shin-Hung
AU  - Hsiao SH
AD  - Cardiovascular Medical Center, Kaohsiung Veterans General Hospital, Kaohsiung, 
      Taiwan; ; School of Medicine, National Yang-Ming University, Taipei, Taiwan;
FAU - Lai, Chi-Cheng
AU  - Lai CC
AD  - Cardiovascular Medical Center, Kaohsiung Veterans General Hospital, Kaohsiung, 
      Taiwan; ; School of Medicine, National Yang-Ming University, Taipei, Taiwan;
FAU - Lin, Tzu-Wen
AU  - Lin TW
AD  - Cheng Shiu University, Kaohsiung, Taiwan.
FAU - Mar, Guang-Yuan
AU  - Mar GY
AD  - Cardiovascular Medical Center, Kaohsiung Veterans General Hospital, Kaohsiung, 
      Taiwan;
FAU - Chiou, Chuen-Wang
AU  - Chiou CW
AD  - Cardiovascular Medical Center, Kaohsiung Veterans General Hospital, Kaohsiung, 
      Taiwan; ; School of Medicine, National Yang-Ming University, Taipei, Taiwan;
FAU - Liu, Chun-Peng
AU  - Liu CP
AD  - Cardiovascular Medical Center, Kaohsiung Veterans General Hospital, Kaohsiung, 
      Taiwan; ; School of Medicine, National Yang-Ming University, Taipei, Taiwan;
LA  - eng
PT  - Journal Article
PL  - China (Republic : 1949- )
TA  - Acta Cardiol Sin
JT  - Acta Cardiologica Sinica
JID - 101687085
PMC - PMC4804788
EDAT- 2013/09/01 00:00
MHDA- 2013/09/01 00:01
PMCR- 2013/09/01
CRDT- 2016/04/29 06:00
PHST- 2016/04/29 06:00 [entrez]
PHST- 2013/09/01 00:00 [pubmed]
PHST- 2013/09/01 00:01 [medline]
PHST- 2013/09/01 00:00 [pmc-release]
PST - ppublish
SO  - Acta Cardiol Sin. 2013 Sep;29(5):395-403.