title: [Prognosis of cardiorenal syndrome in patients with acute coronary syndrome].
abstract: OBJECTIVE
  The cardiorenal syndrome (CRS) includes numerous pathologies affecting the heart and kidney. The objective of this study is to know the characteristics and prognosis of the CRS in patients with acute coronary syndrome (ACS).
  
  
  METHODS
  A prospective study of 87 patients with ACS with and without ST-segment elevation at high risk and heart failure. We analysed the presence of CRS and its relationship with epidemiological variables, clinical, analytical and complementary explorations. Through a Cox regression model we investigated its relationship with mortality in the subsequent 6 months of the event.
  
  
  RESULTS
  Patients with CRS (43.7%) were more frequently women, older, with more prior cardiovascular disease and a profile of higher risk. The prognosis was significantly worse in this group and the CRS was an independent predictor of mortality (hazard ratio 3.08; 95% confidence interval 1.13-8,40; P=.029).
  
  
  CONCLUSIONS
  The presence of CRS has an influence in the prognosis of patients who suffer an ACS high-risk and increases the likelihood of dying during 6 months after the event.
authors.affiliation: Servicio de Medicina Interna, Hospital General de la Defensa, Zaragoza, España. j_cabrerizo@hotmail.com
authors.forename: José Luis
authors.initials: JL
authors.lastname: Cabrerizo-García
authors.forename: Begoña
authors.initials: B
authors.lastname: Zalba-Etayo
authors.forename: Juan Ignacio
authors.initials: JI
authors.lastname: Pérez-Calvo
mesh_terms: D054058:Acute Coronary Syndrome / Q000150:complications* / Q000401:mortality; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D059347:Cardio-Renal Syndrome / Q000150:complications* / Q000175:diagnosis / Q000401:mortality; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D016016:Proportional Hazards Models; D011446:Prospective Studies; D012307:Risk Factors; D012737:Sex Factors