title: Prognostic significance of serum creatinine concentration for in-hospital mortality in patients with acute myocardial infarction who underwent successful primary percutaneous coronary intervention (from the Heart Institute of Japan Acute Myocardial Infarction [HIJAMI] Registry).
abstract: This study evaluated the impact of serum creatinine levels on in-hospital mortality in 1,359 consecutive patients with acute myocardial infarction (from a Japanese prospective multicenter registry) who underwent successful primary percutaneous coronary intervention (PCI). Even in the patients who underwent successful primary PCI, the in-hospital mortality of patients with mild (1.2 </= creatinine < 2.0 mg/dl) and severe (creatinine >/=2.0 mg/dl) renal dysfunction was greater (17.1% and 34.5%, respectively) than that of patients without renal dysfunction (3.9%) (relative risk [RR] 1.72, 95% confidence interval [CI] 0.94 to 3.14, p = 0.080; and RR 4.26, 95% CI 1.48 to 12.27, p <0.0001, respectively).
authors.affiliation: Department of Cardiology, The Heart Institute of Japan, Tokyo Women's Medical University, Tokyo, Japan. junichi.yamaguchi@nifty.com
authors.forename: Jun-ichi
authors.initials: J
authors.lastname: Yamaguchi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kasanuki
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Ishii
authors.forename: Masahiro
authors.initials: M
authors.lastname: Yagi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ogawa
authors.forename: Shin-ya
authors.initials: SY
authors.lastname: Fujii
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Koganei
authors.forename: Hisayuki
authors.initials: H
authors.lastname: Okada
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Kimura
authors.forename: Toshinobu
authors.initials: T
authors.lastname: Horie
authors.forename: Kazuo
authors.initials: K
authors.lastname: Haze
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Sumiyoshi
authors.forename: Takashi
authors.initials: T
authors.lastname: Honda
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D015331:Cohort Studies; D003404:Creatinine / Q000097:blood*; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D007564:Japan; D007676:Kidney Failure, Chronic / Q000097:blood / Q000150:complications; D008297:Male; D015337:Multicenter Studies as Topic; D009203:Myocardial Infarction / Q000097:blood* / Q000401:mortality* / Q000628:therapy; D011237:Predictive Value of Tests; D011379:Prognosis; D011446:Prospective Studies; D012042:Registries
chemical_list: D003404:Creatinine