1. Contemporary Trends and Outcomes in Patients With ST-Segment Elevation Myocardial Infarction and End-Stage Renal Disease on Dialysis: Insight from the National Inpatient Sample
- Author
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Khan, Muhammad Zia, Syed, Moinuddin, Osman, Mohammed, Faisaluddin, Mohammed, Sulaiman, Samian, Farjo, Peter D, Khan, Muhammad U, Agrawal, Pratik, Alharbi, Anas, Khan, Safi U, Munir, Muhammad Bilal, and Balla, Sudarshan
- Subjects
Biomedical and Clinical Sciences ,Clinical Sciences ,Kidney Disease ,Heart Disease ,Clinical Research ,Cardiovascular ,Aging ,Heart Disease - Coronary Heart Disease ,Renal and urogenital ,Good Health and Well Being ,Aged ,Female ,Hospital Mortality ,Humans ,Inpatients ,Kidney Failure ,Chronic ,Male ,Myocardial Infarction ,Percutaneous Coronary Intervention ,Renal Dialysis ,Risk Factors ,ST Elevation Myocardial Infarction ,Treatment Outcome ,End stage renal disease ,ST elevation myocardial infarction ,National in-patient sample database ,Cardiorespiratory Medicine and Haematology ,Cardiovascular System & Hematology ,Cardiovascular medicine and haematology - Abstract
BackgroundCardiovascular disease is the major cause of mortality in end stage renal disease (ESRD) patients on dialysis and myocardial infarction constitutes almost 20% of such deaths. We assessed the trends, characteristics and in-hospital outcomes in patients with ESRD.MethodsWe used national inpatient sample (NIS) to identify patients with ESRD presenting with ST-segment elevation myocardial infarction (STEMI) for calendar years 2012-2016. Multiple logistic regression analysis and propensity matched data was used to compare outcomes for the purpose of our study.ResultsPatients on dialysis who presented with STEMI were less likely to be treated with emergent reperfusion therapies including percutaneous coronary intervention, bypass graft surgery and thrombolytics with in first 24 h. In propensity-matched cohort, the mortality was nearly double in patients who have ESRD compared to patients without ESRD (29.7% vs. 15.9%, p
- Published
- 2020