Renal Dysfunction;

Abstract

Objectives: To determine the frequency of renal dysfunction in patients withacute coronary syndrome at a tertiary care hospital. Study design: Descriptive Cross-sectionalstudy. Setting: Department of Cardiology, Nishtar Hospital Multan. Duration of study: Sixmonths from November 2016 to May 2017. Subjects and Methods: Consecutive 285 patientswho met inclusion criteria of our study were enrolled from department of Cardiology, NishtarHospital Multan. History was taken and relevant investigations were done. Computer basedformula for MDRD eGFR was used to calculate eGFR in our patients. All these findings wereentered in pre-designed, pre – tested study questionnaire. Data was entered and analyzed usingcomputer based software SPSS version 20. All the quantitative variables of the study (suchas age, serum creatinine level, GFR value) were calculated for mean and standard deviation.Frequencies and percentages were calculated for categorical variables like gender, residentialarea, socioeconomic status, level of education, H/O diabetes, H/O hypertension, H/O smokingand family history of IHD etc. Results: We studied 285 patients of acute coronary syndromeadmitted in Cardiology department of Nishtar Hospital Multan, 210 (73.7%) were male and 75(26.3%) female. One hundred eighty (63.2%) were from rural area and 105 (36.8%) were urban.One hundred thirty two (46.3%) were from low income group, 144 (50.5%) from middle incomeand 9 (3.2%) were from high income group. Two hundred four (71.6%) patients presented withchest pain and 72 (25.3%) presented with chest pain and shortness of breath. One hundredeight (37.9%) were hypertensive, 63 (32.6%) were diabetic, 135 (47.4%) were smokers andfamily history of IHD was present in 102 (35.8%) of the cases. eGFR was calculated by MDRDeGFR formula. eGFR was less than 30 ml/min/1.73 m2 in 30 (10.5%) of the cases, 31-60 ml/min/1.73 m2 in 66 (23.2%) cases and eGFR was more than 60 ml/min/1.73 m2 in 189 (66.3%) ofthe cases. Conclusion: The present study reveals that the substantial proportion of our studypatients have underlying renal dysfunction. So eGFR estimation in ACS patients should begiven due consideration. This will help in the management of these patients and may improveshort and long term disease outcome. Further follow up studies especially in terms of morbidityand mortality in this sub-group of patients are suggested.