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									                                                                                            JULY 2010   Renal & Urology News 19

Cardiac Patients with Kidney Disease Fare Worse
KIDNEY DISEASE is present in nearly        patients, 4,181 (31.8%) had kidney          After adjusting for potential con-          respectively, compared with those who
one third of patients with non-ST-         disease. Their rates of in-hospital and   founders, kidney disease was associ-          did not undergo the procedure. Still,
segment elevation acute coronary syn-      30-day mortality (5.4% and 7.2%,          ated with a twofold increased risk of         this high-risk population had signifi-
dromes (NSTE-ACS) and it is a strong       respectively) were significantly higher    in-hospital and 30-day mortality.             cantly higher case-fatality rates during
independent predictor of subsequent        than those for patients without kidney      In addition, patients with kidney dis-      hospitalization (3.3%) and at 30 days
mortality, new findings show.               disease (1.1% and 1.7%, respectively),    ease who underwent coronary angio-            (4.6%) compared with patients who did
  Ilan Goldenberg, MD, of Neufeld          according to a report in Archives of      graphy had a 36% and 40% decreased            not have kidney disease and underwent
Cardiac Research Institute, Sheba          Internal Medicine (2010;170:888-895).     risk of in-hospital and 30-day mortality,     coronary angiography. ■
Medical Center, Tel-Hashomer, Israel,
and collaborators, evaluated the risk
of in-hospital and 30-day mortal-
ity according to the presence of kid-

ney disease, defined as an estimated
glomerular filtration rate of less than
60 mL/min/1.73 m2 among 13,141
patients with NSTE-ACS who partici-
pated in the European Public 
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