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[Creatinin as predictor value of mortality in patients with acute coronary syndrome]

Anel Gómez-García1, Jorge Cruz-Balandrán, Alejandro Villatoro-Martínez

  • 1Instituto Mexicano del Seguro Social, Centro de Investigación Biomédica de Michoacán, División de Investigación Clínica. Morelia, Michoacán, México.

Revista Medica Del Instituto Mexicano Del Seguro Social
|June 23, 2020
PubMed

Insights

Serum creatinine (Cr) levels upon admission for Acute Coronary Syndrome (ACS) predict patient mortality. This easily accessible marker in the emergency department aids in assessing prognosis for ACS patients.

Area of Science:

  • Cardiology
  • Clinical Biochemistry

Context:

  • Cardiovascular diseases are the leading global cause of death.
  • Acute Coronary Syndrome (ACS) is a critical condition requiring prompt risk assessment.
  • Emergency departments (ED) are primary points of care for ACS patients.

Purpose:

  • To evaluate serum creatinine (Cr) as a prognostic indicator for mortality in Acute Coronary Syndrome (ACS) patients admitted to the ED shock room.
  • To determine the association between admission serum Cr levels and patient outcomes (mortality).

Summary:

  • A prospective study of 95 ACS patients (NSTE-ACS and STEMI) admitted to the ED shock room.
  • Serum creatinine (Cr) levels, cardiovascular risk factors, and patient disposition were analyzed.
  • Significantly different Cr levels were observed between patients who survived and those who died (p = 0.0001).

Impact:

  • Admission serum creatinine (Cr) offers valuable prognostic information for mortality in ACS patients.
  • Cr serves as an accessible and readily available prognostic marker within the ED setting.
  • This finding can aid clinicians in risk stratification and management decisions for ACS patients.
Abstract

Keywords:
Acute Coronary SyndromeCreatinineMortality

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