A single centered, observational study of prognosis, incidence and outcomes of acute and chronic kidney disease in patients with ischemic heart disease in a tertiary care hospital

Abstract

Objective: To assess the incidence of acute and chronic kidney disease in patients’ with the ischemic heart disease (IHS) and the in-hospital prognosis and outcomes. Methods: This single-centered, observational study included 240 patients, who were admitted to the hospital for treatment of IHS between August 2020 to November 2020. The incidence of AKI and CKI during hospital admission was assessed such that creatinine levels were measured at admission and at discharge. Results: Of 240 patients, 50 (20.8%) patients had AKI, 40(16.67) patients had CKD, 50% patients had ST elevated myocardial infarction (STEMI), 40% had NSTEMI, 10%had unstable angina. In-hospital complications were atrial fibrillation (24%), ventricular tachycardia (VT) (16%), pulmonary edema (42%), cardiogenic shock (26%), bleeding complications (14%), and mortality (22%). Of 240 patients, 40 (16.67%) patients had CKI, 67.5% patients had ST elevated myocardial infarction (STEMI), 55% had NSTEMI, 10% had unstable angina. In-hospital complications were atrial fibrillation (32.5%), ventricular tachycardia (VT) (15%), pulmonary edema (50%), cardiogenic shock (27.5%), bleeding complications (15%), and mortality (25%). Conclusion: In the light of these results, it can be concluded that the incidence of acute kidney injury and chronic kidney injury in ischemic heart disease patients has been allied with increased incidences of in-hospital complications and mortality.